Facility Evaluation Report

Licensing Program Analyst (LPA) Amber Coleman and Anna Bueno made an unannounced visit to the Bracost V facility to conduct an annual inspection with a focus on infection control. LPA were met, greeted and invited inside facility by staff member Ashley Barrera (S1) S1 took LPAs temperature as asked to sign in to log book. It was there, LPA observed offered PPE, hand sanitizer, and disinfectant supplies. Staff were observed wearing proper PPE throughout facility. S1, Administrator and LPAs discussed the purpose of the visit. The facility was observed to cleanly, free of debris and in comfortable temperature. Administrator Ileana Marques was present during visit and provided LPA's with walk through.

LPAs and Administrator walked through facility and backyard. Administrator reported no current cases of COVID in facility. All staff and residents have been vaccinated. Proper signs and signs regarding infection control were observed throughout facility. The facility staff has a plan in place 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.

LPA observed no health and safety concerns while walking through facility. The client rooms had the required furniture and sufficient lighting. The facility had a supply of additional linen and extra hygiene items and paper supplies for the resident. Fire and carbon monoxide alarms were tested and operational. Fire extinguisher last inspected 1/20/22. Medications, chemicals and sharp objects were observed being kept in secure locations. Fire and carbon monoxide alarms tested and operational.

Inspection Tool was utilized, Mitigation plan was reviewed. Facility was further inspected, and no deficiencies were noted .