Facility Evaluation Report

Licensing Program Analysts (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Administrator Tyler Cheney and Wellness Director Ruby Magao and explained the purpose of the visit. The facility is a 2 story story building located in a residential neighborhood that is licensed for 85 adults 60 and over approved for 85 non-ambulatory, of which 9 may be bedridden. The facility has a hospice waiver for 20. The facility consists of a Memory Care unit, 64 rooms, 2 activity rooms, 2 dining rooms, kitchen, 2 tv rooms, puzzle room, piano room, cafe room, lounge, library, administration offices, laundry room, 2nd floor terrace area, and an outdoor water fountain. The last fire drill was conducted on 10/2/2021.

Entrance screening, sign-in sheet, contact-less thermometer, and hand sanitizer in the main entrance is in place. COVID-19 Infection Control Practices and signs were observed in the entrance area. Not all common area hallways and 2nd floor public bathrooms did not have required postings.

The interior and exterior physical plant was inspected. Twenty nine (23) rooms were inspected.

Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. Furniture was observed to be at least 6 feet apart.

Each client's room is designated as a COVID-19 solation room if needed.

All staff were observed wearing mask. Dementia residents were not observed to be wearing masks. Non-Dementia residents were wearing masks.

Six (6) centrally stored resident medication records were reviewed.

Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed.

A posted Emergency Disaster Plan was observed.

Facility has sufficient supply of Personal Protective Equipment (PPEs).

LPA requested a copy of the staff roster and resident roster.

Exit interview was conducted with Administrator Tyler Cheney and Wellness Director Ruby Magao. A copy of the report was provided.