1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 02/23/2023 to conduct a required - 1 year inspection. LPA was greeted and screened by staff. LPA met with staff, Florentino Arcilla. Licensee/administrator, Sheila Sumabat was not available but was notified over the phone of the inspection. This inspection is focused on the infection control practices and procedures of this facility.
LPA toured building and grounds which were found to be clean and in good repair. Facility currently has six residents. Facility had sufficient perishable and non-perishable food. Fire extinguishers inspected were charged and current. Toxins were locked and secured. Medications were centrally stored and locked. Carbon monoxide and smoke detectors were present and operational. Walkways were cleared and unobstructed. High touch surface areas are disinfected daily. LPA observed COVID postings at the front entrance. Staff and residents are all fully vaccinated. Facility has necessary Personal Protective Equipment to support a resident in isolation. Staff have been given infection control training.
LPA requested copies of the following documents be submitted to Community Care Licensing within 30 days of today's inspection:
LIC 308 Designation of Facility Responsibility
Liability Insurance
LIC 610 Emergency Disaster Plan
LIC 9020 Resident Roster
LIC 500 Personnel Report
Admin Certificate
No deficiencies observed during today's inspection. Exit interview conducted with Florentino Arcilla. |