Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual/infection control inspection. LPA met with Program Director (PD) Rocel Cooperrider, and informed the purpose of visit.

Facility has an approved LIC808 Mitigation Plan. Facility has not submitted the LIC9283 Infection Control Plan.

LPA toured the facility inside out with PD. LPA inspected the reception area, dining rooms, media and activity rooms, bathrooms, library and isolation/quiet room,

LPA observed screening station by 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. Facility has antigen test kits readily available. COVID-19 signages were observed all throughout the facility. Bathroom lavatories were observed with liquid soap and paper towel in dispenser for hand drying. Trash cans were observed with no touch lids.

Fire extinguishers checked, and observed fully charge with tags showed serviced April 11, 2022. Hot water temperature in one of the common bathrooms was tested and measured at 105 degrees Fahrenheit.

LPA observed supply of N95 respirators and disposable gowns not sufficient for 14 staff for 30 days.