Facility Evaluation Report

On today's date, 10/6/2022, at 12:55 PM, Licensing Program Analyst (LPAs) L. Fici and C. Lin arrived unannounced to conduct Infection Control Inspection. LPAs met with Shashi K Madahar , Health Services Director (HSD) and explained the purpose of the visit.

During the inspection, LPAs toured facility including but not limited to common areas, hand washing stations, bedrooms, bathrooms, kitchen and courtyard. LPAs observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPAs observed PPE's are plentiful. Food and paper supplies are sufficient. Hand sanitizer is provided at facility entrance. LPAs observed water temperature in the memory care unit bathroom measured at 113.2 degrees F. Fire extinguisher was last serviced on 8/12/2022. LPAs observed facility passages inside and out are free of obstruction. First aid kit was observed to be complete. Smoke and carbon monoxide detectors were observed and maintained. Common areas are disinfected 3 or more times a day.

During record review, LPAs observed facility has a copy of Infection Control Plan and emergency disaster plan on file.

Exit interview conducted with Health Services Director and a copy of this report provided.