Facility Evaluation Report

On 2/23/2023 at 9:05 AM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct an annual Infection Control Inspection. LPA met Lead Staff, Brian Jimenez and explained the purpose of the visit. Brian stated that their Program Coordinator Marisol Salcedo is currently on vacation and is unable to join the visit. LPA was unable to speak to the Program Coordinator.

During the Infection Control Inspection, LPA toured facility with Brian including but not limited to front entrance, screening station, hand washing stations, bathrooms, activity rooms, and kitchen area. 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 and hand washing posters were observed. Common touched surfaces are disinfected at least once daily.

Bathrooms are equipped with liquid soap, paper towel and trash bins. Facility staff were observed to be wearing proper PPE. Facility has a 30 day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. Smoke and carbon monoxide detectors were observed and are connected to the sprinkler system. First Aid kit was complete. Fire extinguishers were observed. LPA observed facility passages inside and out free of obstruction.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.