Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection focused on infection control. At 10:25 AM, LPA was greeted and granted entry by Caregiver Jennifer Nangaoang and she was informed of the purpose of my visit. At the time of visit there were 3 staff members and 4 residents present. The facility doesn't 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 posted throughout the facility. The facility has an adequate amount of hand hygiene supplies (soap, hand sanitizer). The staff were also observed wearing appropriate face coverings (surgical masks) at the time of visit.

The facility staff has a plan to manage Covid-19 symptoms, which includes staff monitoring residents regularly for any changes in condition, which includes daily temperature checks. The facility will contact the resident's physician should there be event of any COVID-19 related illnesses. The facility staff are responsible for cleaning and disinfecting the highly touched surfaces during their shift.

The outdoor and indoor hallways were also free of obstruction. The client rooms had the required furniture and sufficient lighting. The bathrooms can accommodate the needs for bathing and showers have non-slip flooring. The facility had a supply of additional linen and extra hygiene items for the clients. LPA measured the hot water temperature measured at 105.5 degrees F.

At 12:55 PM, LPA observed that there were no carbon monoxide detectors in the facility. The administrator Allison laygo was called to confirm if fire detectors were dual or not and it couldn't be confirmed.this poses an immediate health and safety risk to clients in care.

An exit interview was conducted, and a copy of this report was provided to Jennifer Nangaoang.