Facility Evaluation Report

Licensing Program Analyst (LPA), Janira Arreola made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted and granted entry by licensee, Deana Randle, who was informed of the purpose of the visit. At the time of visit there was 1 staff and 0 residents present. The facility currently has zero positive or suspected Covid-19 cases.

During today's visit, LPA toured the facility and made observations regarding the infection control measures that the facility has implemented. LPA observed Covid-19 postings in the facility and advised licensee to have postings on main entrance and throughout the facility. This will be documented on an LIC 9102TA. A single entry point was designated where symptoms screenings and temperature checks occur daily for all visitors, residents, and staff. The facility had a plan in place to monitor residents regularly for any changes in condition. The facility had an adequate amount of hand hygiene supplies (soap, hand sanitizer, paper towels) in all restrooms. Common areas such as dinning rooms and activity rooms have been modified with social distancing and masking policies. There are designated isolation rooms and a plan in place to monitor and attend to those in the isolation rooms. LPA was informed of staff training in the proper use of PPE equipment, and observed a sufficient 30-day supply. The facility also has a designated infection control lead and a plan in place to clean and disinfect the highly touched surfaces. No deficiencies were given at this time.

An exit interview and a copy of this report was provided to licensee, Deana Randle.