Facility Evaluation Report

On 05/23/2022. Licensing Program Analyst (LPA) Venus Mixson made an unannounced annual required visit. LPA was greeted and granted entry by Administrator Lidia Pina. LPA Mixson introduced self and explained the purpose of the visit with an emphasis on infection control. LPA was given tour of facility by Administrator.

Present in the facility were no clients residing at the facility and 2 caregivers. There are currently no cases of COVID-19 within the facility.

LPA Mixson toured the facility and made observations pertaining to the facility's infection control measures. LPA observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions and the proper use of face coverings.

The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, and cleaning and disinfection provisions are in adequate quantities. LPA later discussed infection control practices and procedures with Administrator. There were no signs posted outside of isolation rooms to indicate appropriate contact and respiratory droplet precautions. Licensee has not provided all staff who are working with COVID-19 positive residents with fit testing for N95 respirators. A Technical Advisory (TA) was provided to further explain the requirement.

An exit interview was conducted, and a copy of this report, along with the LIC9102 TA.