Facility Evaluation Report

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Administrator Shahbaz Baig and explained the purpose of today's visit.

This is an ARF with a capacity of 34. The facility is licensed to serve 34 ambulatory clients. All ambulatory clients. The following was inspected and toured: The facility consists of 17 Client bedrooms (all shared), 2 Staff bedrooms, 5 client bathrooms, 1 staff bathroom, kitchen, dining area and common area for clients.

COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, and in all common rooms and hallways.

Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing.

Clients are able to use a designated isolation room that will be used as isolation rooms if a COVID-19 positive case should arise.

30 day supply of medication reviewed for (9) residents (Client #1 through Client #5)

Facility has an adequate amount of PPE and facility has enough PPE for 6 months.

Clients were socially distanced according to local public health guidelines.

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

Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed (including paper goods, utensils etc).