Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an unannounced infection control inspection/visit. Upon entry, LPA was greeted by staff Dominga Reynante, who allowed LPA to enter. There have not been any active or past COVID cases at the facility, and all staff and clients are vaccinated; including the booster shot. The current census is (4); but only (3) were present during the visit. LPA’s temperature was immediately taken and documented; and LPA signed in the visitor book. LPA observed staff to have full mask covering; a hand sanitizing station; PPE supplies in drawer; and COVID-19, CDC, Department of Public Health, and Licensing postings on the walls throughout the facility. LPA discussed the mitigation plan that was submitted and approved with staff Dominga.

The facility has (5) bedrooms and (3) bathrooms; with (4) private rooms, and (1) room for staff. The common areas were observed to be clean, including bathrooms, with soap and towels. LPA conducted a mitigation plan review with the staff Dominga in order to obtain information on how the facility has implemented the plan. Currently, the facility only COVID test when there are signs or symptoms from clients or staff. The Licensee receives departmental emails and forwards them to staff at the facility to keep everyone notified on COVID-19 procedures. Staff Dominga informed LPA that if facility staff become ill with COVID symptoms, the Licensee has hotel accommodations and staff would be paid there regular salary while on leave.

There are designated rooms for potential positive COVID clients; there are (5) private rooms available. PPE, chemicals, cleaning supplies, water, personal hygiene supplies, and paper products are stored in the garage area. LPA observed a sufficient supply of all items during the visit. LPA observed the facility has Licensing requirement for food supply.