Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 02/16/2023 at 10:50 AM. LPA met with Administrator Jennifer Lopes Lawrence and explained the purpose of the visit.

LPA took a physical plant tour of the facility with Administrator. The facility has submitted a mitigation plan to the department and it has been approved. The facility has an entry point at the side door where everyone entering completes sign-in and symptom questionnaire. All documentation is kept in a binder. 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. The facility has a patio for resident use with chairs and umbrella for shade. All equipment and PPE supplies are kept in the storage area in garage. Medications are kept in a locked medication cabinets in the hallway. The staff screen residents for symptoms and temperature 1x's a day and documentation is kept on file. Increased monitoring is conducted if any change of condition is noted. Signs are posted on the front door, entry area 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 will be tested and negative results received before 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.