Facility Evaluation Report

Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct an annual inspection with emphasis on infection control. LPA met with House Manager Vicente Santiago and explained the purpose of today’s visit. The facility has submitted an Mitigation Plan Report as required.

During the inspection, LPA observed appropriate COVID-19 postings in the facility which were in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). As documented in the facility's Mitigation Plan Report, the facility has a designated infection control lead person/infection preventionist who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring staff are trained in the facility's infection control procedures, and ensuring infection control measures are implemented. Also detailed in the Report is a plan which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, properly caring for residents and staff with COVID-19 positive results and/or exposures as well as a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician, emergency personnel, and responsible party in the event the resident presents with any COVID-19 symptoms.

No deficiencies were observed during today's visit. An exit interview was conducted, and a copy of this report was provided.