Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 06/20/2022 at 08:25 AM unannounced in order to complete the facility's Annual Inspection. LPA Brown met with staff Anayeli Hoyos and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Administrators Harish Lal and Sirish Lal were contacted and informed of the visit. Staff Hoyos reported that they have five (5) residents at the facility. Administrator Sirish Lal arrived during the visit. 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 Lal. LPA Brown observed the facility having Covid-19 signages throughout the facility for proper hand washing procedure and social distancing, and signs have been posted at facility entrance with updates to visitor policy to notify of policies and procedures necessary to protect residents from infection during pandemic. However, LPA Brown noticed no central entry point has been designated for universal entry screening, no routine symptom screening like temperature and symptom check has been initiated at entry for all staff, residents and visitors. In addition, LPA Brown observed facility are not documenting daily temperature and Covid-19 symptom checks and any change in condition for staff in order to track spread. Moreover, during the visit, LPA Brown observed two (2) staff not wearing mask while in the facility. LPA Brown will be issuing a Technical Advisory Note for this items. LPA Brown toured the facility's and all rooms and bathrooms have hand soap and paper towels. LPA Brown requested to inspect the facility's Personal Protective Equipment (PPE) supply and the facility has sufficient supply of PPE. LPA Brown went over the various recommended training for facility staff with Administrator Lal in relation to COVID-19 and Administrator Lal informed LPA Brown that all staff are trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing of PPE.