Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara conducted an unannounced Required 1-Year inspection. This annual had a specific emphasis on infection control practices and procedures. LPA met with staff Jocelyn Reyes (S1) and spoke with Licensee/Administrator Grace Catabay over the phone. LPA explained the reason for the visit. The licensee was unable to attend the visit and instructed LPA to conduct the visit with S1. The LPA, along with S1 and staff 2 (S2), 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/FOOD SERVICE AREA: The facility had a sufficient supply of perishable food and non-perishable food. Knives and cleaning supplies were locked in drawers and cabinets. .

COMMON AREAS: The living room areas and dining areas are furnished appropriately. The smoke alarm and carbon monoxide detectors were tested and were operational. The fire extinguisher is fully charged and purchased on 11/19/2022. The backyard area is enclosed with a self-latching gate and outdoor activity space. Medications were locked and centrally stored in the hall closet. Cleaning supplies are stored in the locked laundry room.

BATHROOMS: There are three full bathrooms. The bathrooms were observed to be safe and sanitary with grab bars and non-skid mats and a supply of toilet paper, soap and paper towels.

BEDROOMS: There are six private resident bedrooms that were properly furnished at the time of the visit.

INFECTION CONTROL: During today’s visit, the LPA spoke with S1 regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening and hand sanitization. LPA observed all staff to be wearing masks. LPA observed an adequate supply of Personal Protective Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. To date, the facility has not had a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate.

No deficiencies cited. Exit interview conducted. A copy of the report was provided via email.