Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with Amanda Lopez for a One (1) Year Required - Infection Control visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at 1:00pm and the following was noted:

There is one entrance being utilized for check-in at the facility, there are required posters at the main door. Screening area is located immediately upon entrance. Sign in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing masks upon entrance and during the visit. Hand washing, coughing etiquette, physical distancing and other necessary signs are posted in the bathroom and throughout the facility. The facility has enough PPE supplies. The facility has a total of twenty-five (25) bedrooms and sixteen (16) bathrooms. The facility is fire cleared for forty-six (46) ambulatory, (02) non-ambulatory, two (02) bedridden and a hospice waiver for two (02) residents. The facility is currently occupying thirty-nine (39) residents.

The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. Living and dining room furniture were also checked. The living and dining room are neat and clean. The facility maintains an average comfortable temperature of 78°F. The smoke and carbon monoxide detectors are observed to be operational. Fire extinguishers are located throughout the facility, observed to be full and last inspected on 06/08/2022.