Facility Evaluation Report

On 4/22/2022 starting at 12:40 p.m., Licensing Program Analysts (LPAs) C. Lin and K. Nguyen arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator Elena Ghita and disclosed the purpose of the visit.

Upon entry, LPAs' temperature was checked by the administrator, asked Covid symptom questions, and requested to wash hands. LPAs toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, bathrooms, kitchen, common areas, and outdoor areas. There is one central entry point for universal screening for staff, residents, and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Hand washing posters were observed. Facility staff were observed to be wearing proper PPE.

Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff, and visitors.

No deficiency cited during visit. Exit interview conducted with Administrator, and a copy of this report provided.