Facility Evaluation Report

On 10/20/2021, Licensing Program Analyst (LPA) arrived unannounced to conduct an Annual Inspection-Infection Control. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. LPA was granted entry to the facility by Caregiver, Liza Narcario. Caregiver contacted Administrator via telephone. Administrator was unable to attend this inspection. LPA received verbal permission to conduct the inspection with Caregiver, Liza Nacario.

Facility tour conducted with Caregiver. All pathways, entrances and exits were clear from obstructions. No fire clearance issues. LPA observed signs promoting hand-washing, social distancing, and cough/sneeze etiquette. LPA checked residents' medication and observed a 30 day supply. LPA toured the facility kitchen. LPA observed two refrigerators, the kitchen pantry, and all cabinets containing food to be locked. Per Caregiver, the facility did not have a waiver approving the locked refrigerators, pantry, and cabinets. Caregiver removed the locks, allowing food to be accessible. LPA observed a 7-day supply of perishable foods and a 2-day supply of perishable foods. LPA observed a 30 day supply of PPE and cleaning supplies.

Bedrooms are single occupant. Facility bathrooms were stocked with paper towels and liquid soap. Hand-washing signs observed in resident bathrooms. Resident temperature checks are documented daily. 3 out of 4 resident records have updated emergency contact information. Facility staff records reviewed for good health and infection control training.