Facility Evaluation Report

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced Required 1 - Year Visit. The LPA was greeted by Staff, Alexandra Calderon, identified himself, and discussed the purpose of the visit.

The LPA conducted a tour with Staff, Alexandra Calderon. In accordance with the Department’s Infection Control program, The LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan (LIC 808).

The LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff and visitors; a sign-in policy enacted for all visitors; signs posted at facility entrance with the facility’s visitor policy, and signs throughout the facility to promote hand hygiene, face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; and an adequate supply of PPE (Personal Protective Equipment). Based on observations, the facility is in compliance with and has implemented infection control practices as outlined in its LIC 808. No deficiencies were observed during today's visit.

An exit interview was conducted with Staff, Alexandra Calderon, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided via electronic mail. An electronic mail read receipt confirms the documents were received.