Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 03/09/2022 at 2:18 PM. LPA met with Kerye Martinez back up to Administrator. LPA explained the purpose of the visit.

LPA took a physical plant tour of the facility with staff. The facility has submitted a mitigation plan to the department. The facility has an entry point at the front door where everyone entering completes sign-in, symptoms screening and temperature checks all documentation is kept in binders. The entry station has hand sanitizer along with a thermometer. The facility has a living room to accommodate activities, a dining room for dining, all areas are spaced to accommodate as much space as possible for social distancing. All equipment and PPE supplies are kept in the garage. Medications are kept in a locked medication cabinet in the kitchen. The staff screen residents for symptoms and temperature 3 x's a day and documentation is kept on file. Increased monitoring is conducted if any change of condition are noted or any residents show any signs, symptoms or have a temperature. Signs are posted in the entry area and on doors and walls in common areas regarding Covid-19. Staff makes sure residents have a mask when leaving the facility on outings into the community. All staff wear face coverings in the facility and when on outings with residents. Facility have areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New residents and staff will be tested and negative results received before working or residing in the facility. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed.