Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 10:10 a.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Yvette Feniquito and explained the reason for the visit.

The LPA, along with 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.

KITCHEN: Knives are stored in a locked cabinet in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: The LPA observed the single-room bedrooms, which were furnished appropriately with clean linens, furnishings and sufficient lighting. There were four client bedrooms, one staff room, and one office. RESTROOMS: The two restrooms are clean, sanitary and in operating condition with grab bars and non-skid surfaces. The LPA observed appropriate hand-washing signs in the restrooms. COMMON SPACES: Walls and flooring were checked for cleanliness and good condition. The washer and dryer are next to the kitchen. Passageways were clean and clear of obstructions. No bodies of water were noted in the backyard. The LPA observed all the required postings that promoted cough etiquette, signs and symptoms of COVID-19, and appropriate hand hygiene. Medications are locked inaccessible in the kitchen cabinet.

INFECTION CONTROL: The facility has a central entry point for symptom screening, temperature checks, and sanitation station. The LPA observed an adequate supply of Personal Protection Equipment (PPE). The facility’s cleaning protocol is sufficient. The facility can designate a single isolation room if the facility has a confirmed case of COVID-19. The Administrator is up to date regarding policies around vaccinations, visitation, and the required updates needed for the facility's Plan of Operation. The facility’s policies and procedures as it pertains to infection control are adequate.

No deficiencies cited at this time. Exit interview conducted. Signatures obtained.