Facility Evaluation Report

A Required One (1) year - Infection Control visit was conducted today by Licensing Program Analyst (LPA) Michael Cava. LPA met with the administrator, Loida Quijano and stated the purpose of the visit. LPA observed that all four (4) residents were at the facility during the visit.

The tour of the physical plant was conducted at 8:30am and the following were noted:

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

The facility submitted an approved Mitigation Plan.

Signs to wear a mask and other COVID 19 prevention protocol signs were posted on the walls. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted all over the facility. All trash cans were observed to be with covers.

The facility has a designated visitor's area in the living room or at the backyard. The facility has a sufficient supply of PPE in the storage room.

Resident room s: The facility has a fire clearance for four (4) Ambulatory only. There are three (3) Resident rooms and one (1) room assigned to staff. Resident rooms have appropriate lighting, furniture, bedding, and linens.