Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced infection control annual inspection. LPA met with Bonnie Jean Tabing, administrator, and informed the purpose of visit. LPA also met with other staff, Caridad Escarez and Wilena May Bautista.

Facility has LIC808 Mitigation Plan on file. All staff were fit tested for N95 respirators on August 2021.

LPA toured the facility inside out with Bonnie Jean Tabing. LPA inspected the living room, dining area, kitchen, bathrooms, laundry room, side and backyard. There's adequate food supplies of perishables good for 2 days and non-perishables good for 7 days.

LPA observed screening station located near the front entrance with visitor's log, hand sanitizer and no touch thermometer. Surgical masks and disposable gloves are readily available at the screening station. Visitor's temperature and symptom checks are done at entry for visitors. Residents and staff are screened for COVID-19 symptoms and temperature is checked daily. Facility keeps record of proof of vaccination of visitors and antigen test kits are readily available. COVID-19 signages were observed posted all throughout the facility. Supplies of PPEs were checked.

Hot water temperature at the common bathroom was tested and measured at 107.9 degrees Fahrenheit. Fire extinguisher checked and observed fully charge with tag showed serviced January 4, 2022. First aid kit was observed complete with manual.