Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual/infection control inspection. LPA met with staff, Rosemarie Wright, and informed the purpose of visit. LPA called Maria Golitzen; no answer. LPA called Chioma Dimude, licensee, who arrived after about 20 minutes.

Facility has an approved LIC808 Mitigation Plan. The LIC9282 Infection Control Plan has not been submitted.

LPA toured the facility inside out with Rosemarie Wright. LPA inspected the living room, dining area, kitchen, hallways, residents bedrooms, bathrooms, side and backyard. There's adequate food supplies of perishables good for 2 days and non-perishables good for 7 days. Central storage for medications and storage for cleaning supplies were observed locked.

LPA observed screening station near the front entrance with hand sanitizer, no touch temperature probe. Facility has Visitor's log. Temperature and symptom checks are done at the entrance. Facility keeps record of proof of vaccination of residents and staff. Supplies of PPEs checked. COVID-19 signages were observed inside the facility. Trash bins were observed with touch free lids.

Fire extinguisher checked, and observed fully charge with tag showed serviced December 12, 2022. Hot water temperature in the common bathroom was tested and measured at 106.5 degrees Fahrenheit.