Facility Evaluation Report

On 06/02/2022, Licensing Program Analyst (LPA), Venus Mixson arrived at the above facility for an unannounced required annual with emphasis on infection control.

LPA Mixson was greeted and granted entry by Lead Caregiver, Erna Depalubos. LPA Mixson met with Lead Caregiver, Erna Depalubos, introduced self, and stated the purpose of the visit.

Present in the facility were 5 residents 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 Mixson 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 Mixson later discussed infection control practices and procedures with Lead Caregiver.

An exit interview was conducted and a copy of this report, along with the LIC 811 was provided to Lead Caregiver.