Facility Evaluation Report

On 5/20/2022 starting at 9:35 AM, Licensing Program Analysts (LPAs) L. Francisco and K. Nguyen arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator, Sheila Melecion and explained the purpose of the visit.

During the Infection Control Inspection, LPAs toured facility with Administrator including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Hand washing posters were observed. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap and paper towel. Facility has a supply of PPEs maintained at central location and easily accessible for staff.

At 10:15 AM, LPAs reviewed 4 staff records and observed 4 of 4 staff have health screening and TB test on file. Facility has a mitigation plan and maintains record of routine screening for residents and staff.

-At 9:50 AM, LPAs observed unlocked medications on office table accessible to residents. Deficiency cleared during visit. LPAs observed staff removed medications and locked it away.