Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a required annual inspection with an emphasis on infection control. LPA identified herself to care staff Leonardo Dolliente. Staff Russell Bernardo arrived shortly and verified that the facility currently has no active and/or suspected COVID-19 cases.

During the inspection, LPA interviewed care staff regarding the facility's infection control measures and inspected the facility for regulatory compliance. LPA observed appropriate postings in the facility, including COVID-19 symptoms and infection control postings, which were in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases and that staff are trained in the facility's infection control measures. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for clients with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms.

During the inspection, LPA did not observe private accommodations for live-in staff. LPA interviewed staff who stated that they live in the facility for 5 days. Refer to LIC809D for deficiency cited. A technical advisory was provided to remind staff the importance wearing properly fitting face coverings.

An exit interview was conducted where this report was discussed, and a copy of this report was provided to Russell Bernardo at the conclusion of the inspection.