Facility Evaluation Report
On 6/08/22, LPA Medina conducted an unannounced Annual Required Infection Control Inspection. LPA met by Licensee/Administrator, Rhondi Farmer to conduct facility tour and inspection. 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. Resident bedrooms toured, all residents have private bedrooms. Smoke detectors/carbon monoxide detectors observed to be operational during inspection. Water temperature measured at 116 degrees F.
Medication observed to be locked and secured in medication cart, a 30-day supply of medication is available. LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available for residents. Facility staff was observed with mask on.
LPA received updated copies CPR/First, LIC 500, LIC 610, and LIC 9020, and Infection Control Plan during inspection.
No deficiencies were observed. Exit interview was conducted. A copy of report was given to Administrator for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction