Senior Care Records.

Facility Evaluation Report

Ewing Palm Home, LLC, Visalia12/12/2022Licence 547206651

Capacity6
Census3
Date signed12/12/2022 03:10:09 PM
The inspector’s account

On 12/12/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA introduced self, stated the purpose of the visit and met with Elizabeth Ewing, Licensee. Upon entry staff was observed wearing facial covering. LPA conducted tour with Licensee. There was one client were present during the tour.

LPA did observe visitor log-in/temperature check upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. Hand sanitizer was readily available to residents and visitors. Cough etiquette and social distancing postings were observed in facility. LPA observed fire extinguisher served date: 03/19/22.

LPA checked residents’ locked medications and observed a 30-day PPE supplies. Food supply was checked and appeared to be an adequate supply. LPA observed trash bins with lid in bathrooms. LPA observed hand washing signs in bathroom sinks.

All resident’s room toured and observed to be adequately furnished and lit. LPA observed 3 bedrooms that are single occupant. The exterior tour was conducted. Side gate was self-closing and self-latching. Staff records were reviewed for good health and infection control training. All client’ records reviewed to have updated emergency contact information.

No deficiencies issued during this inspection.

Exit Interview conducted. Please submit the requested forms to Fresno CCL by: 12/19/22. The following updated forms were requested: Lic 308, Lic 400, Lic 402, Lic 500, Lic 610D, Lic 9282. LPA received copy of Licensee’s health screening. A copy of this report was provided to Licensee.

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