Facility Evaluation Report

On 05/31/2022, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct an annual infection control inspection. LPA was met by Staff S1, stated purpose of the visit and was allowed entry into the facility. Administrator for facility is Dante Williams. Staff S2 responded to the facility to assist with the inspection. Staff S2 has a signed LIC 308 (Designation of responsibility) form signed by the Administrator. LPA began the tour at the front entrance/office of the facility.

Visitor log-in/temperature check, masks, and disinfection station was observed upon entry. Facility has one entrance/exit point. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common areas. Hand washing and other various Covid-19 related signs were observed in the common areas.

LPA observed a two day supply of perishable food and seven day supply of non-perishable food. Cleaning supplies were observed behind a locked door in garage and a locked cabinet in the laundry room. LPA observed the following personal protective equipment in a storage cabinet in laundry room; gowns, face shield, gloves, and masks.

Exit interview was conducted and a copy of this report was provided