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25 | Applicant Josefina Manalo has applied for RCFE relocation and capacity increase. Existing facility #415600386 is located at 840 Camaritas Circle, South San Francisco, CA 94080.
LPAs Jeung and Charitra toured facility and grounds of this 9-bed, ground level facility for 8 non-ambulatory residents. All rooms are private, and 5 rooms have exit doors to outside. There is a staff room and 3 full bathrooms. Washer and dryer are located in 2-car garage. There is a ramp surrounding the facility, which provides egress to the street on west side. Facility sketch accurately reflects floor plan. Medications and toxins are secured in locked cabinets in kitchen and bathroom. Food preparation and service items are present, as well as non-perishable canned fruit and protein. Supply of bed and bath linens is observed.
The following items are observed and must be addressed prior to licensure:
1. Infection protocols are not practiced, as LPAs were not COVID screened upon entry. There is no visitor log maintained, COVID screening questions were not asked, and body temperature was not take until LPAs inquired about this.
2. There are no COVID signs posted: cough/sneeze etiquette, reminders to practice social distancing and wear masks.
3. There is no COVID visitation policy posted at front door.
4. There is no PPE supply maintained in facility.
5. There is an insufficient 7-day supply of canned vegetables on premises.
6. Room doors are numbered and referenced in Emergency Disaster Plan (LIC610E), but there are no room numbers on bedroom doors.
7. Plan for Epidemic Outbreak Specific to Covid-19 Mitigation Plan (LIC808) is missing cell phone number of licensee (page 11).
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