Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 12/16/2022 to conduct a Required 1 - Year inspection. LPA met with administrator, Silvana Daniel. This inspection is focused on the infection control practices and procedures of this facility. LPA observed necessary COVID postings and screening materials at the front entrance. Screening procedure is required for all staff and visitors.

LPA toured building and grounds which were clean and in good repair. Exits and walkways were clear from obstructions. LPA observed sufficient perishable and non perishable food. Toxins were locked and secured. Medications were locked and secured. Fire extinguishers inspected were last charged on 01/11/2022. Administrator confirmed facility has necessary PPE to support a resident in isolation. Local Public Health has provided staff with PPE and infection control training. LPA and administrator discussed training requirements for staff and resident record keeping.

LPA is requesting the following documents be submitted to Community Care Licensing within 30 days of today's inspection:

LIC 308 Designation of Administrative Responsibility

Exit interview conducted with administrator. Report was emailed to administrator. No deficiencies observed during today's inspection.