Facility Evaluation Report

On 10/22/21 LPA Bruce Jacobs arrived at this facility unannounced to conduct an annual inspection visit. LPA met with Facility Administrator Tanya Monge and explained the purpose of the visit and Tanya accompanied LPA on the facility inspection.

LPA Jacobs inspected the physical plant including but not limited to the kitchen, dining area, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 66 bed facility with a current census of 46. The facility has COVID precautions in place including social distancing and other signage noted.. LPA also conducted the infection control domain tool.

The facility submitted a LIC 808 mitigation plan , which was approved. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing stations, COVID - 19 informational signage, and social distancing signs posted throughout the facility, on the front door, and outside. The facility has a designated infection control lead individual. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed and two isolations rooms are identified if needed. Common touch surfaces are cleaned after each use.

LPA observed the facility to have adequate food supply of 7 days non-perishables and 2-days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings.