Facility Evaluation Report

On 11/16/22, Licensing Program Analysts (LPAs) L. Salazar and M. Medina arrived at the facility unannounced to conduct an Annual Infection Control inspection. LPAs were greeted by Licensee, stated the purpose of the visit and were allowed entry into the facility. COVID precautionary measures were taken at the time of entry. LPAs entered through the central entry point where hand sanitizer and visitor policy was posted.

Facility Mitigation plan has been submitted to CCL. Infection control procedures described in the plan which were observed and reviewed by LPAs include: Visitor sign in and symptoms screenings for visitors , quarantine/isolation procedures, emergency staffing plan. Licensee is identified as the Infection Control Lead for the facility.

LPAs toured the facility inside and out. All common areas of facility have adequate seating and lighting for resident in care. Facility has adequate food supply. Fire extinguisher present with a service date of 10/13/22. Carbon monoxide and smoke detectors present and observed observational during today's inspection. First Aid present with all required supplies.

Through LPAs' observations, documentation review and interview with Licensee, the required infection control practices are found to be in compliance. No deficiencies cited on todays visit.

A copy of this report was provided for facility records.