Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced Required - 1 Year Annual visit. The primary focus is on the Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Bunker called the facility and spoke to Licensee Roneilio Garcia via telephone to conduct a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection.

LPA Bunker met with Licensee Roneilio Garcia and explained the purpose of today's visit. LPA was properly screened for COVID-19 symptoms and temperature was checked. LPA observed a sanitizing station at the facility garage entrance; visitors log with COVID-19 screening and temperature log, and records of daily COVID-19 screening and temperature checks of residents and staff. PPE supplies are readily available to staff, and an additional over 90-day supply of PPE is stored in the storage closet; sufficient paper, cleaning, and disinfecting supplies were observed. LPA reviewed the facility’s surveillance testing records. LPA verified that the facility has an approved Mitigation Plan Report. Mr. Garcia stated staff and residents are fully vaccinated. All staff has completed the N95 fit testing requirement.

The facility is licensed for six (6) non-ambulatory bedridden residents and an approved hospice waiver for six (6) residents.