Facility Evaluation Report

Licensing Program Analyst (LPA) Adam Hamer conducted an unannounced annual required licensing inspection on today's date. LPA was greeted at the entrance and granted entry after identifying himself and disclosing the purpose of the visit. LPA conducted an overall tour of the facility, inside and out, with caregiver Gabriela Hernandez. The inspection included, but was not limited to, verifying compliance with statutes, regulations and other written requirements that are most relevant to protecting the health of clients in care and staff, including in the area of infection control practices.

LPA reviewed the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) with Ms. Hernandez including the following sections: Person in Care, Staff, Visitors, Facilities without COVID-19, Residents, Facility has Plans for Infection Control, and Physical Distancing. LPA assessed the strategies that the facility is employing for the prevention, containment and mitigation of COVID-19, implementation of infection control guidance, staff retention and essential health and safety.

LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, clients 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, cough/sneeze etiquette and physical distancing; face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and clients; and an adequate supply of PPE. 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 Ms. Hernandez and a copy of this report along with the Licensee Rights (LIC 9058 FAS 01/16) was provided to her via the email address she provided to LPA; she expressed that she would send LPA a confirmation upon receipt of these documents.