Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez and Bennette Pena conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPAs met with Licensee/Administrator Nino Navarro and Administrator Michelle Navarro and explained the purpose of the visit. Facility serves residents 60 and older. Facility is a single story home located in a residential area consisting of 4 private rooms, one shared room and 1 staff room., 3 bathrooms, living room, dining room, backyard patio area with shade, and attached garage. The last fire drill was completed on March 1, 2022. Administrator certificate expires 05/04/22

· COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept.

· Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote hand washing, cough/sneeze etiquette, and physical distancing.

· Facility has one designated isolation room.

· Three (4) resident rooms, common areas, bathrooms, and outdoor physical plant was inspected.

· All client rooms were not equipped with alcohol-based hand sanitizer but available through out the facility

· Four (4) centrally stored client medication records were reviewed.

· Staff responsible for direct care and supervision were observed wearing masks.

· Clients were not observed wearing masks but adhering to public health social distance guidelines.

· Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed.

· A posted Emergency Disaster Plan was observed.

· Staff and resident files were not reviewed during today's visit.