Facility Evaluation Report

De Boer Home #2, Porterville05/09/2022Licence 547208863

Capacity6
Census5
Date signed05/09/2022 01:28:41 PM
The inspector’s account

On 5/09/22, LPA conducted an unannounced Annual Required Infection Control Inspection. LPA allowed entrance by Administrator, Linda Anderson and stated the purpose of the visit. A tour of the facility was conducted. Licensee Breann DeBoer arrived a short time later to complete inspection tour. All COVID-19 guidelines are in place, visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point, all staff and visitors enter through front door.

Facility appeared clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to resident and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. Resident bedrooms toured, resident bedrooms with 2 occupants observed to have a minimum of 6 feet between beds. Food supply observed to be adequate for the residents in care. Cleaning supplies observed to be locked and secured. PPE supplies observed to be secured in the garage.

Fire extinguisher present and has a service date of 11/6/2022. Carbon monoxide detector and smoke detectors present and observed to be operational during today's inspection. Facility is equipped with pull station and fire sprinklers.

Administrator to submit copies updated Administrator's certificate, CPR/First Aid, LIC 500, LIC 610, LIC 9020 to submit to Fresno CCL office no later than 5/16/2022. LPA received copy of facility Infection Control Plan during visit.

No deficiencies observed during inspection. Exit interview conducted. LPA left copy of facility report with licensee.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction