Facility Evaluation Report

On 01/04/2022 Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an infection control annual required inspection. LPA met with Assistant Administrator Edwin Isip, LPA called Administrator Ryan Busalacchi was called to inform the purpose of the visit, Administrator is not available but gave permission to LPA to discuss and give copy the report to Assistant Administrator. Facility has census of 6.

LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen and patio. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. Medications are centrally stored in a locked area that is inaccessible to clients and refilled every at least 30 days.

Facility has enough 2-day perishable food 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. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE (mask). Facility has a mitigation plan and maintains record of routine screening for residents and staff.

Exit interview conducted and copy of this report provided Edwin Isip- assistant administrator.