Facility Evaluation Report

On 7/8/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced required annual visit with a primary focus on Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Montoya called the facility, spoke with Administrator Angelique Gradney and conducted a risk assessment. Based on the assessment, the facility is clear of Covid-19 infection. The facility is licensed for four (4) ambulatory residents and two (2) Nonambulatory residents. There are three residents and two caregivers present during the visit. Upon arrival, LPA met with Staff Catherine Espino (Assistant to the Administrator) who assisted with the visit.

LPA Montoya and Staff Espino toured the inside and outside grounds of the facility. LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility entrance and visitors’ log. PPE supplies are readily available to staff, and an additional 30-day supply of PPE; sufficient paper, cleaning, and disinfecting supplies were observed. The facility’s designated visitation areas are the front patio, back patio, and living room. LPA observed staff and residents maintain 6 feet physical distancing, and each staff wears a face covering.

Based on LPA’s record review and interview with Staff Espino, all four residents and all four staff have been vaccinated; N95 Fit testing has been completed and facility staff have been given training on Covid-19 Infection Control and Prevention training. The facility conducts Covid-19 testing for all staff and residents every week.

All rooms were inspected. Beds in shared bedrooms are 6 feet apart/3 feet head-to-toe apart. Adequate lightings and storage for residents’ personal belongings were observed.

There are no security bars or weapons on the premises. Resident bathrooms were checked, and sufficient liquid soap and paper towels were observed. Toilets and water faucets worked properly, grab bars were