Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 11:00 am to conducted a 1 year annual visit to the facility above. LPA met Licensee/Administrator Gabriella Soo and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit:

Infection Control: The facility has submitted a current Mitigation Plan, Infection Control Plan and needs to update the Emergency Disaster Plan and provide to the department. The facility has a sign in and out binder for visitors at entry with hand sanitizer and symptom screening. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectants spray and cleaners. The facility has trash bins with covers. The facility has a 30 day supply of PPE. New residents are tested and negative results received before residing in the facility. Sick staff are requested to stay home and not report to work if ill. Quarantined or isolated individuals will have meals and medication delivered to rooms.

Physical Plant & Environment Safety : The facility is a 5 bedroom and 3 bathroom home currently occupying 4 residents and 5 staff. The facility is clean, safe and sanitary. The pathways are clear of any obstructions. The facility has sufficient space inside and outside for activities and visiting. The gates on each side of the facility are in need of repair to be self-closing and self-latching. The facility has table and chairs available outside with shaded area for resident use. Laundry room has working washer and dryer.