Facility Evaluation Report

On 10/6/2022 starting at 10:55 AM, Licensing Program Analysts (LPAs) L. Francisco and L. Alexander arrived unannounced to conduct Infection Control Inspection. Upon arrival, LPAs were greeted by care staff, Gilbert David and LPAs explained the purpose of the visit. Back-up Administrator, Jaidi Smith later arrived at 11:30 AM.

During the Infection Control Inspection, LPAs toured facility with Back-up 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. Visitors policy is posted on the front entrance. 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. Hand washing posters were observed. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. Facility staff were observed to be wearing proper PPE. Facility has a minimum 30-day supply of PPEs maintained at central location and easily accessible for staff.

At 12:10 PM, LPAs reviewed a sample of 2 staff records and 2 of 2 staff have TB test results on file. Facility has a mitigation plan and maintains record of routine screening for residents and staff.