Facility Evaluation Report

A Required One (1) year - Infection Control visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Administrator Nicole Sosa. Purpose of visit was stated. LPA observed that all nine (9) residents were at the facility during visit.

A tour of the physical plant was conducted at 9:30 AM and the following were noted:

munity buildings. The main door is the only entrance being utilized for entry. There is a sign on the door that

Entry is only through the main gate along the main road and needed to call in before entry, as this is a gated com everyone entering at the facility must wear mask and must be screened. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened by the staff upon entry. All staff were observed to be wearing mask.

The facility had submitted and approved Mitigation plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted on the walls. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover. The facility has a designated visitors' area at the other building. The facility has sufficient stock of PPE in the storage room.

The facility is part of series of building inside the compound. It is a one storey stand alone building and has five (5) shared client bedrooms and three (3) bathrooms. There are additional three (3) vacant room designated for isolation. There is also a bathroom designated for staff use only.