Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 01/31/2022 at 09:45 AM, unannounced in order to complete the facility's Annual Inspection. LPA Brown met with Administrator Rufina Laygo and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Below is a summary of what was observed:

Infection Control: LPA Brown went over COVID-19 best practices for infection control and prevention with Administrator Laygo. Administrator Laygo reported that Mitigation Plan was submitted 02/05/2021. LPA Brown observed the facility having Covid-19 signages throughout the facility for cough etiquette, proper hand washing procedure, social distancing. Administrator Laygo accompanied LPA Brown on a tour of the inside and outside of the facility and LPA Brown observed that the three (3) resident bathrooms have paper towels and hand soap..

LPA Brown requested to inspect the facility's Personal Protective Equipment (PPE) supply. LPA Brown observed the facility to have a sufficient supply of sanitizer, gloves, masks, and face shields/goggles and isolation gowns. LPA Brown went over the various recommended training for facility staff with Administrator Laygo in relation to COVID-19 and LPA Brown confirmed with the Employee Training Logs that all staff were trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing of PPE.

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, cleaning and disinfection provisions are in adequate quantities. The facility has a plan in place which follows Community Care Licensing guidelines for when and how long to test staff and their clients for COVID-19, when and how to isolate/quarantine clients, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas. *** Continuation on LIC809C ***