Facility Evaluation Report

Licensing Program Analyst (LPA) Angelica Arambulo and Abeye Duguma conducted an unannounced required annual visit to the facility. Upon arrival the LPA were instructed to use the side door of the house. Entry through the gate was closed and the side screen door opens the opposite way from the steps so you had to take a two step entry to get onto the platform. Administrator Lani states it is so you can use the side bathroom and wash your hands before you enter. LPA's were screened with temperature taking and no questionaire or logging of temperatures.

Administrator certificates were valid and expires in 2022 for Lani Manzano. Certificate for Aida expires in 2023.

Mitigation plan is on file. LIC500 staff schedule needs to be updated. The register of residents is updated and posted. The LIC610E is updated and posted.

The screening questionaire was not being used and the staff was not taking their temperatures before and after a shift. Residents and visitor temperatures are taken once a day. The faciilty does have antigen testing on site. They will start surveillance testing for staff weekly.

The LPA did not observe any health or safety hazards during this visit. The report shall be emailed to facility email on file. Contact information shall be updated by LPA.