Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. Upon arrival, there were two staff and five residents present. The LPA spoke with the Administrator, Karina Antig over the phone and the reason for the visit was explained. The Administrator arrived at the facility at 2:40 p.m. Entrance interview conducted.

At 1:33 p.m. the LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA began the inspection in the kitchen/food service area at 1:42 p.m. Knives are stored in a locked drawer next to the kitchen sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:45 p.m., the hot water temperature was measured in the kitchen at 114.6 degrees Fahrenheit.

INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed infectious disease case. The facility’s policies and procedures as it pertains to infection control are adequate.

GARAGE AND GROUNDS : The garage is attached to the house and locked at all times. The laundry room is in the garage locked and inaccessible. Cleaning supplies and disinfectants are kept in locked cabinets in the garage. There is one (1) additional refrigerator and one (1) freezer in the garage with perishable items in good condition. Facility has an adequate amount of emergency food and emergency water.