Facility Evaluation Report

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced Required One () year inspection to this facility. LPA initially met with Administrator Monique Lopez and explained the purpose of the visit.

At 10:25 AM, with the Administrator, LPA conducted a tour of the facility inside and out. The following were observed:

There is one main entrance being utilized at the facility. Screening area is located in the reception area. Sign in log book, hand sanitizer and masks are available. The facility had submitted and approved Mitigation Plan and Infection Control Plan.

Signs to wear a mask and other COVID-19 prevention protocol signs were posted indoors. Hand washing, coughing etiquette, physical distancing and other necessary signage were posted in the bathroom and all over the facility. The facility has a designated visitor's area in the front of the main building. The facility has sufficient stock of PPE in the storage room

The facility consists two (2) storey building and a basement. The facility is fire cleared for 128 ambulatory residents, sixty (60) of which maybe non-ambulatory. Hospice waiver for twenty five (25) residents. The basement has the Kitchen, Cafeteria, Activity room, Laundry Area, Staff break room and Storage rooms. There are sixty four (64) shared bedrooms with own bathroom and eight (8) public bathrooms. There were two (2) shaded smoking area in the surrounding backyard equipped with outdoor furniture. There is no body of water in the facility.