Facility Evaluation Report

Licensing Program Analyst (LPA) Norman Woodridge conducted a Covid-19 Annual Inspection at the facility. Upon arrival, LPA met with staff 1 (S1), informed S1 of the purpose of the visit, and conducted a tour of the inside and outside of the facility, common areas, kitchen, bedrooms, bathrooms, and garage.

LPA and administrator, Regie Banggalat, discussed and observed the following:

LPA observed a 2-day supply of perishables and a 7-day supply of nonperishables. LPA observed PPE supply and Covid-19 signage throughout the facility. Hallways and walkways were free from obstruction. LPA observed liquid hand soap and paper towels in restrooms. LPA reviewed temperature check log for residents, staff roster, and client roster. LPA provided technical assistance on staff screening and documentation. Facility requested additional PPE from Regional Office. LPA advised that a request will be made, and AD would be followed up with.

LPA issued a technical assistance for the facility failing to lock a cabinet with cleaning supplies. Facility immediately corrected deficiency. AD advised facility will provide in service training for staff regarding ensuring cabinets are locked and provide LPA with proof of training by Friday, November 12, 2021.

An exit interview was conducted with AD and a copy of this report was provided.