Facility Evaluation Report

Licensing Program Analysts (LPAs) Jennifer Semin and Ryan Gardner arrived at the facility unannounced after completing a COVID-19 Risk Assessment Screening for the facility. LPA met with administrator Ruth Anguiano and advised her of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only.

LPAs went over COVID-19 best practices for infection control and prevention with Ms. Anguiano who are successfully incorporating the facility's Mitigation Plan. Clients have hand sanitizer available to them and the bathrooms were stocked with hand soap and paper towels. LPA observed the facility to have multiple postings throughout the facility for cough etiquette, proper hand washing procedure, social distancing, and emergency contact information for local fire department has been updated.

LPAs requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was located at the central entry point for convenience. LPA observed a storage area for storing all PPE items such as gloves, face shields, gowns, surgical masks, N95 masks, disinfectant and hand sanitizer supply and is inaccessible to clients. LPA and Ms. Anguiano discussed the need to procure additional PPE to maintain a 30 day supply of N95 respirators and gowns. LPAs and administrator discussed creating a box, or similar, to have a supply of PPE ready that would be dedicated for isolation room, along with a trash can to put inside and outside of an isolation room.

LPAs inquired as to if staff have been fit tested for N95 masks, and Ms. Anguiano stated their staff have all been fit tested and provided documentation.

An exit interview was conducted, and this report was discussed and provided to Ms. Anguiano along with a LIC9102 TA Advisory Note.