Facility Evaluation Report

Licensing Program Analysts (LPA) Gary Tan initially met with staff Agueda Roche for a One (1) Year Required - Infection Control visit for this facility. Staff called who called the Administrator Rosario Soriano who arrived about twenty (20) minutes later. LPA explained the reason for the visit.

A tour of the physical plant was conducted at 4:00 PM and the following was noted:

There is only one entrance being utilized at the facility, there are required poster posted at the main door. 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 upon entrance and during visit.

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

The facility has five (5) bedrooms and three (3) bathrooms currently occupying five (5) residents. One (1) additional bedroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, Hospice waiver for two (2) residents