Facility Evaluation Report

Licensing Program Analyst (LPA) Dawn Segura visited the facility to conduct an annual required licensing inspection. LPA was granted entry into the facility and met with Ruksana Gasque, Licensee, with whom she discussed the purpose of the visit.

During today's visit, LPA toured the facility and verified compliance with infection control practices. LPA and licensee reviewed the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation. LPA observed a central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents, and visitors; a sign-in policy enacted for all visitors; face coverings worn by staff; hand sanitizer/hand washing stations readily available; available visitation area; emergency agencies’ contact information visible to staff; and a sufficient supply of cleaning products and PPE. Signs promoting hand hygiene, cough/sneeze etiquette, and symptom/transmission awareness will be provided to licensee for posting in the facility.

No deficiencies were cited during today’s visit. An exit interview was conducted with Ruksana Gasque, Licensee, and a copy of this report and Licensee Rights (LIC 9058 FAS 01/16) will be provided, via email, following the visit. An electronic receipt of confirmation was requested to be sent to LPA upon receipt of the documents.