Facility Evaluation Report

On 10/07/21, Licensing Program Analyst (LPA) M. Medina arrived unannounced to conduct an Annual Required Infection Control. LPA met with Licensee, Carol Orduno, introduced self, stated the purpose of the visit. Upon entering the facility, LPA observed visitor log/temperature check. Facility has one central entrance and exit

Facility tour conducted with Licensee. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents 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. All residents have private bedrooms.

LPA observed medication to be locked, residents observed a 30-day supply. LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available. Cleaning and PPE supplies were checked. Facility staff was observed with mask on.

Licensee provided LPA Medina with copies of Administrator Certificate, First Aid, LIC 500, LIC 610 and LIC 9020.

LPA observed the required infection control practices to be in compliance. No deficiencies were observed. Exit interview was conducted and Licensee was informed that as a COVID-19 precautionary measure, this report will be emailed.