Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to conduct an Annual Required inspection and was greeted by the On Duty Nurse, Alfredo Fernandez. Administrator, Hannah Peralta was available by phone. The inspection is focused on the Infection Control procedures and practices of this facility.

Upon arrival, LPA was screened by nurse and asked to sign in and complete a questionnaire with standard Covid-19 screening questions. LPA initiated a walk-through of the facility around 1:00pm and observed the following: Facility has COVID-19 posters throughout that include hand washing signs in bathrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Commonly touched surfaces are disinfected once per shift per maintained log. Facility continues to screen clients and staff for Covid-19 daily and maintain documentation.

Facility has a designated visitation area outside and is allowing for visitation inside per CCL guidance. Staff continue to receive training on infection control and Personal Protective Equipment (PPE). Staff have been N95 fit tested.

Facility has more than a 30 day supply of PPE including but not limited to masks, gloves, and hand sanitizer. Facility maintains a 30 day supply of medication. Fire extinguishers were last serviced November 2022. Facility has a fire system that includes carbon monoxide detectors that is maintained by a vendor. The most recent testing and service was conducted November 2022.