Facility Evaluation Report

On 03/28/2022, Licensing Program Analyst, M. Garza arrived at the facility unannounced to conduct the required Infection Control Inspection. LPA Senior Directors, Bridgette Franco and Issac Jimenez. LPA had temperature taken and was allowed entry into the facility. LPA observed a central entry point with a supply of hand sanitizer and a sign in policy that includes documented routine symptom screening for resident's, staff and visitors. Resident observed in various activity rooms.

Mitigation plan was received and reviewed. COVID-19 procedures described in the plan include required postings, symptoms screenings (for staff, persons in care and visitors), testing, quarantine/isolation cohorts, infection control plan to include donning and doffing of Personal Protective Equipment. Staffing and sick leave plans are in place for emergency staffing and/or PPE shortages.

LPA toured the facility inside and out. Required postings of signs to include hand washing and physical distancing present though out the facility. Signs for sneezing/coughing etiquette not observed. Staff were all observed wearing face coverings. Covered trash bins were observed though out the facility. A supply of PPE was available with exception of gowns to be ordered. Sinks are well stocked and liquid soap for hand washing and paper towels for hand drying observed.

Through LPA observation of documentation and interview with Senior Directors, the required infection control practices are found to be in compliance. No deficiencies cited on todays inspection. TA's given for signage and PPE.

Due to COVID precautionary measure being taken a copy of this report will be emailed to: jami@dlclife.org. A delivered an read receipt serves as confirmation.