Facility Evaluation Report

On 02/24/22 at 10:30AM, Licensing Program Analysts (LPAs) Daisy Panlilio & Liridon Fici conducted an infection control annual inspection and explained the purpose of the visit with administrator. LPAs observed 2 staff wearing face masks during visit. LPAs observed no clients during visit. Administrator stated the 2 clients were at their day programs. Facility has a mitigation plan in place dated 07/01/21 to mitigate the spread of COVID-19. LPAs discussed the completed mitigation plan (LIC 808) with administrator as well as COVID-19 infection control practices.

LPAs inspected the facility inside and outside. One central entry point has been designated for universal entry screening with the station located near the front entrance with visitor's log, hand sanitizer, gloves, face masks and no touch temperature probe. COVID-19 signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff and residents. Pathways were observed to be free of obstruction and fire hazards.

A written Emergency/Disaster plan dated 01/01/22 was posted near the dining room area. Centrally stored medications were locked inside the bedroom. Sharp objects were locked in the kitchen pantry room. Toxic chemicals were also locked inside the laundry room.