Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) L. Salazar arrived at the Day Program unannounced to conduct the Infection Control Inspection. LPA met with Licensee Beverly Cornell and Administrator Christine Williams. LPA completed the Covid Contact questionnaire prior to entrance into the facility.

Upon entry, LPA’s temperature and symptom screening was conducted by staff. LPA entered through the staff only central entry point where hand sanitizer, visitor sign in and screening policy was observed.

Facility Mitigation plan has been approved. Infection control procedures described in the plan which were observed or reviewed by LPA during the visit include: Daily symptoms screenings (for staff, persons in care and visitors), visitation policy , quarantine/isolation procedures, infection control and disinfecting procedures, staffing plan, Personal Protection Equipment (PPE) storage and use, infection control training, communication procedures. Administrator are identified as the Infection Control Leads for the program.

LPA toured the facility inside and out. Required postings such as hand washing, coughing etiquette and physical distancing were observed in the facility. Staff were all observed wearing face coverings. Social Distancing interventions such as floor markers and individual work stations were observed. LPAs observed 30-day PPE supply. Sinks observed to be stocked with liquid soap, paper towels and covered trash cans in restrooms.

Through LPA’s observations and interview with Administrator, the required infection control practices are found to be in compliance. No deficiencies cited on today’s inspection.