Facility Evaluation Report

On 4/29/2022 approximately 12:40pm, Licensing Program Analysts (LPAs) L. Fici and L. Hall arrived unannounced to conduct infection control inspection LPA's met with administrator Collong, Teresita and explained the purpose of the visit

Upon arrival facility staff were not observed wearing masks. During the Infection Control Inspection, LPAs toured facility including but not limited to front yard, common areas, kitchen, bedroom, shared bathrooms. There is a central entry point for staff and visitors. LPAs did not observe a screening nor were they any COVID signage throughout facility. Facility's temperature is measured at 70 degrees F. Hand washing posters, soap, and paper towel were observed in bathroom. Fire extinguisher is maintained and serviced dated 3/9/2022. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. LPA's observed PPE's and facility has a mitigation plan on file.

The following forms are to be updated and submitted to CCLD By 5/6/2022.

- LIC308- Designation of Administrative Responsibility

- An updated copy of Administrator certificate