Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 08/10/2022 at 12:30 PM. LPA met with Staff Caregiver and explained the purpose of the visit. LPA spoke with Licensee/Administrator and she has completed an LIC. 308 to meet with staff in her absence today.

Staff took LPA on a physical plant tour of the inside and outside of the facility. 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, symptom questionnaire and temperature screening. All documentation is kept on a clipboard and filed in binder daily. The entry station has hand sanitizer along with a thermometer. The facility has a large living room area that is used for activities and exercise, all areas are spaced to accommodate as much space as possible for social distancing. Medications are kept in a locked medication cart in the dining area. The kitchen area has a dining area to accommodate some distancing between residents when eating meals. The staff screen residents for symptoms and temperature 1 x's a day and documentation is kept in residents file. Increased monitoring is conducted if any change of conditions are noted. Signs are posted in the entry way, throughout the facility, in the residents bedrooms and bathrooms regarding Covid-19. All required postings are hung in the entry way and common areas of the facility. 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 has several 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.