Facility Evaluation Report

Licensing Program Analysts (LPA) Gary Tan conducted an unannounced Required One (1) year visit at this facility today. LPA met with Assistant Administrator Gio Monico and explained the reason for the visit.

A tour of the physical plant was conducted at 1:23 PM and the following was noted:

There is only one entrance being utilized at the facility, there are required posters posted at the main door and all over the facility. Screening area is located immediately upon entrance. Sign in sheet and hand sanitizer is available. All the staff were observed to be wearing mask. The facility had an approved Mitigation and Infection Plan.

Signs to wear a mask and other COVID-19 prevention protocol signs were posted outside the door. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has multiple screening stations all through out the facility. The facility has sufficient stock of PPE in the storage room.

The facility has eighteen (18) shared bedrooms equipped with bathrooms in each room. The facility is fire cleared for thirty five (35) non-ambulatory residents, six (6) of which maybe bedridden in rooms 11-14 & 18.

Common areas were inspected. The living room, activity room and dining area were observed to be neat, clean and in proper order, The facility maintains a comfortable temperature at 74°F. There is a carbon monoxide detector installed in the facility. Fire extinguishers are located all throughout the facility and last inspected on 12/14/23. The facility is equipped with emergency pull alarm and sprinkler system.