Facility Evaluation Report

A Required One (1) year - Infection Control visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Doris Duong, Administrator and purpose of the visit stated. LPA observed that the two (2) residents were at the facility during visit and the other is at the Skilled Nursing Facility (SNF).

A tour of the physical plant was conducted at 8:45 AM and the following was noted:

The front main door is the only entrance being utilized at the facility. There is a sign on the front gate preceding the main door that everyone entering at the facility must be screened. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing mask.

The facility had submitted and approved Mitigation Plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover.

The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the garage.

Facility has four (4) private client bedrooms and has two (2) bathrooms. Additional two (2) bedrooms are designated for staff use. There is no body water in the facility.