Facility Evaluation Report

On 10/25/2022 starting at 12:35 p.m., Licensing Program Analyst (LPA) Catherine Lin arrived unannounced to conduct Infection Control Inspection. LPA met with the Program Coordinator and disclosed the purpose of the visit.

Upon entry, LPA’s temperature was checked and asked to fill out Covid-19 questionnaire. LPA toured facility including but not limited to screening station, hand washing stations, bathrooms, activities rooms, and common areas. There is one central entry point for universal screening for staff, clients, and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette and hand washing posters were observed. Facility staff were observed to be wearing proper PPE.

Facility didn't provide meals and manage medication. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff, and visitors. Facility will provide an updated Emergency Disaster Plan (LIC610E) to CCL by 11/1/2022.

No deficiency cited during visit. Exit interview conducted with Program Coordinator and a copy of this report provided.