Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a Required 1Year inspection, on 12/22/2022 at approximately 2:10pm, and met with LVN Jennie Manganaan; LPA observed three additional staff/caregivers on duty during the inspection. LVN Jennie contacted the Administrator, RN Abbie Narciso, to notify them of LPA's arrival to the facility. The Administrator had Lead Staff House Manager Fely Juanson meet the LPA at the facility.

This inspection will focus on the infection control procedures and practises of this facility.

Staff screened the LPA upon their arrival to the facility. Sanitizer was available on the screening entry table. LPA observed all staff to be wearing masks as required. The facility has a sufficient supply of PPE.

Facility is fire cleared for five(5) clients that are nonambulatory, of which five(5) may be bedridden. The facility was clean and orderly. The facility was observed to be at a comfortable temperature.

The fire extinguisher(s) was serviced and tagged as required- dated 8/29/2022. The facility has a sufficient supply of food, water supplies, hygiene supplies, paper products, and cleaning supplies. The facility has sufficient furnishings for use by all clients in care, staff, and visitors.

Exit interview conducted with Fely Juanson, Lead House Manager.