Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced infection control annual inspection. LPA was granted entry by staff, Nabeel Arafat. Doreen Khan, administrator, arrived after several minutes. LPA also met with other staff, Satnam Kaur. LPA informed the purpose of visit.

Facility has LIC808 Mitigation Plan on file.

LPA toured the facility inside out with Doreen Khan and Nabeel Arafat. LPA inspected the living room, dining area, kitchen, bathrooms, bedrooms, 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 by the front entrance with hand sanitizer, surgical masks and no touch temperature probe. Visitor's temperature and symptom checks are done at entry and recorded. Residents and staff are screened for COVID-19 symptoms and temperature checked daily and recorded/ Supplies of PPEs checked and observed adequate for 30 days for staff. All trash bins were observed with foot operated pedal lids. Antigen test kits are readily available. COVID-19 signages were posted in prominent areas in the facility.

Fire extinguisher checked and observed fully, and receipt showed purchased April 5. 2022. First aid kit was observed complete with manual. Hot water temperature in one of the bathrooms tested and measured at 108.4 degrees Fahrenheit.