Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 01/31/2022 at 11:45 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 02/19/2021. LPA Brown observed the facility having Covid-19 signages throughout the facility for cough etiquette, proper hand washing procedure and social distancing. Administrator Laygo accompanied LPA Brown on a tour of the inside and outside of the facility and LPA Brown observed that the two (2) and a half (1/2) 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 isolation gowns but no face shields/goggles. LPA Brown advised the facility to look online for item missing from their PPE supply kit, as Community Care Licensing (CCL) and Inland Regional Center (IRC) may not have these items all the time to supply them with.

LPA Brown went over the various recommended training for facility staff with Administrator Laygo in relation to COVID-19 and LPA Brown confirmed through 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.