Facility Evaluation Report

Licensing Program Analyst (LPA) Bruce Jacobs, Licensing Program Managers Liza King and Stephanie Doub, Regional Manager Krystall Moore and Health Care Associated Infections (HAI) representative Hosniyeh Bagheri , Infection Preventionist, CDPH conducted an office visit via teams on 10/14/21 at 4:00pm with Commons on Thornton Administrator Carol Miller to discuss the recommendations provided by HAI following the onsite visit on 09/22/21. This Health and Safety visit is to ensure the facility is following the appropriate infection control protocols.

HAI Summary and Recommendations Reviewed:

· Facility was not aware of the response testing protocol. Response testing should be initiated as soon as one or more positive staff/resident identified in the facility and should be continued up to 14 days after the last positive case/s is identified. There should be at least 2 consecutive negative results for all staff and residents on the weekly basis testing and 14 days passed from the last positive. Please check with DSS and LPH for more information in this regard.

· Consider to quarantine all negative residents until the termination of the outbreak and use appropriate PPE accordingly

· Limit the visitation, group activities and communal dining as per your mitigation plan during the outbreak.

· Consider to cohort staff for positive residents and non-positive ( Exposed residents) if possible