Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena, arrived at the facility at 1:30 p.m., unannounced to conduct a required annual inspection. This annual inspection had a specific emphasis on infection control practices and procedures. LPA Urena met with staff Asmik Arzuyan , and explained the reason for the visit.

INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and a sanitation station. LPA was asked to sign in. Temperature was taken by Caregiver. Infection Control signage was visible at entrance and throughout the facility.

At 1:45 p.m, the LPA and the staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Bedrooms: At 1:50 p.m., the LPA and the staff observed the residents’ bedrooms. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three Rooms(R). R#1, has two residents, R#2, has two residents, and R#3, has 2 residents.

Bathrooms: At 2:15 p.m., the LPA and staff observed the residents’ restrooms. Restrooms were clean, shower area was in clean condition with grab bars and non-skid mat available. Paper towels were available for drying hands. Hand washing signs were displayed.