Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required annual inspection, with emphasis on the infection control procedures practices and met with Martha Bacon. The reason for today's visit was explained.

Upon entry into the facility on today's visit at 8:30am, LPA Yee observed posters that advises residents and visitors to wear a mask when entering the facility in the front and back entry way, temperature is taken in the center office where visitors are directed to sign in. A tour was conducted of the facility from 12:30pm - 1:30pm, inside and outside. The following rooms were randomly chosen and inspected - Room 105, 113, 114, 117, shower #1 and #2. The following were observed:

A large hole was observed in the ceiling in shower #1

the wooden beam and ceiling in the dining room have water damage

hand sanitizers are installed throughout the hallways

hand washing instructions were posted in the hallway

the facility has sufficient supply of Personal Protection Equipment (PPE) for approximately 30 days and has a supplier for additional PPEs if needed.

Overall, the facility was observed to be clean and is cleaned and sanitized everyday. The rooms inspected and common areas were clean.