Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a 1 Year Required inspection, on 12/6/21 at approximately 12:00pm, and met with Administrator Jennica "Abbie" Narciso. There were also three caregivers on duty during the inspection.

This inspection will focus on the infection control procedures of this facility. Administrator stated that the facility is in compliance with the Departments PIN 21-44.

The LPA was screened in the entry when entering the facility, temperature was taken, and covid questions were asked. Sanitizer was available on the screening entry table. LPA observed all staff to be wearing masks as required. The facility has a large PPE supply that was observed by the LPA to be stored in the garage.

Facility is fire cleared for five(5) clients that are nonambulatory, this includes approval for five (5) bedridden approval, not to exceed a capacity total of five clients in care. The facility had all exits unobstructed. The facility was clean and orderly. The facility was observed to be at a comfortable temperature.

The Santa Rosa Fire Department was out August 20, 2021, the fire extinguishers, sprinkler system, smoke alarms with carbon monoxide detector were all inspected and found to be working appropriately. The facility has a sufficient supply of food, water supplies, and hygiene supplies, paper products, and cleaning supplies. The facility has sufficient furnishings for use by all clients in care, staff, and visitors.