Facility Evaluation Report

On 08/31/2021, Licensing Program Analyst (LPA) A. Walton arrived unannounced to conduct an Annual Inspection- Infection Control. LPA introduced self, stated the purpose of the visit and was granted entry to the facility by Caregiver, Dawona Howard. Administrator, Beatrice Villegas was contacted via telephone. LPA received verbal permission to conduct the facility tour with Caregiver until Administrator arrived. Administrator arrived a short time later.

Facility tour conducted with Caregiver. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathroom did have a trash cans with lid. Hand washing posters were observed by the bathroom sink. LPA observed a hole in the window screen in bathroom 1. Bedrooms were checked and beds are six feet apart. LPA observed 2 blinds missing from the window in bedroom 2. LPA observed a hole in the window screen in the Den area.

LPA checked residents’ locked medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. LPA observed the kitchen light cover to be cracked. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Facility staff was observed with mask on. Residents wear masks when away from the community. 2 out of 2 resident files have updated emergency contact information.