Facility Evaluation Report

On 10/24/2022 Licensing Program Analyst (LPA) Lavinia Muscan, arrived at the facility unannounced to conduct an annual visit using the infection control tool visit. LPA met with Facility Administrator, Orlando Carpio and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured she used hand sanitizer prior to entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask.

LPA was informed facility currently does not have residents in care, and has not had residents in care since originally being licensed. Facility is up to date on licensing fees. Administrator will notify Community Care Licensing when first resident is admitted. Areas toured include but are not limited to: common areas, resident bedrooms, outside area and common restrooms. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report left at the facility.