Facility Evaluation Report

On 11/10/2021 at 1:10pm Licensing Program Analyst (LPA) C. Fowler and (Licensing Program Manager (LPM) J. Fong arrived unannounced to conduct infection control inspection LPA and LPM met with program director, Ashraf Ziyar and explained the purpose of the visit

During the Infection Control Inspection, LPA and LPM toured facility including but not limited to common areas, kitchen, bedrooms, and shared bathrooms. to front entrance, screening station, hand washing stations, common areas. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing signs were posted in common areas. Hand washing posters, soap, and paper towel were observed at hand washing stations. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility staff were observed wearing masks. Facility has a 30-day supply of PPE maintained at a central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff.

Exit interview conducted and a copy of this report provided.