Facility Evaluation Report

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced Required One (1) year Infection control inspection to the facility. LPA met with Licensee Patricia Olano and explained the reason for the visit.

A tour of the physical plant was conducted at 3:15 pm and the following was noted:

There is only one entrance being utilized at the facility, there are required posters posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, and masks are available. LPA was screened upon entry.

The facility had submitted and approved Mitigation Plan.

Signs to wear a mask and other COVID-19 prevention protocol signs were posted outside the door. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted throughout the facility. The facility has sufficient stock of PPE.

The facility has four (4) bedrooms and two (02) bathrooms currently occupying four (04) residents. Two (02) rooms are private rooms and one is a shared room. Another room is for staff.