Facility Evaluation Report

On 12/31/2021, Licensing Program Analyst, L. Salazar arrived at the facility unannounced to conduct the required Infection Control Inspection. LPA was greeted by caregiver, COVID screening was completed prior to LPA's entry. LPA observed a central entry point with a supply of hand sanitizer located is located in a locked office next to entry. Staff wash hands in upon entering facility. A sign in policy that includes documented routine symptom screening for visitors is currently being implemented now that visitation restrictions have been lifted.

Mitigation plan was received. 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, coughing etiquette and physical distancing were observed throughout the facility. Staff were all observed wearing face coverings. Facility has designated visitation areas. Covered trash bins were observed. LPAs observed a 30 day supply of PPE and resident medications. Sinks are well stocked and liquid soap for hand washing and paper towels for hand drying were observed.

Through LPAs observation of documentation and interview with Administrator and staff, the required infection control practices are found to be in compliance. No deficiencies cited on todays inspection.