Facility Evaluation Report

On 03/24/22 at 12:15PM, Licensing Program Analyst (LPA) Daisy Panlilio conducted an infection control annual inspection and explained the purpose of the visit with administrator. LPA observed 5 staff wearing face masks during visit. LPA observed 2 non-ambulatory clients watching an exercise video in the common hall. Facility has a mitigation plan in place dated 04/21/21 to mitigate the spread of COVID-19. LPA discussed the completed mitigation plan (LIC 808) with administrator as well as COVID-19 infection control practices.

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 handwashing, cough/sneeze etiquette and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff and clients. Pathways were observed to be free of obstruction and fire hazards.

A written Emergency/Disaster plan dated 04/01/21 was posted near the conference room. Centrally stored medications were locked in the medication room. Sharp objects were locked in the kitchen cabinet. Toxic chemicals were locked in the storage room.