Facility Evaluation Report

Licensing Program Analyst's (LPA's) De Leon and Haner-Tomasko arrived at 9:15am to conducted a 1 year annual visit to the facility above. LPA met with Back up Administrator Maria Lopez and explained the purpose of the visit.

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

Infection Control: The facility has submitted a current Infection Control Plan to the department. The facility has a sign in and out binder for visitors at entry with hand sanitizer. The bathrooms have toilet paper and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff will be trained on infection control and the use of Personal Protective Equipment (PPE) initially and annually thereafter.

Physical Plant & Environmental Safety: The facility is a 19 bedroom with 6 shared resident bathrooms, 4 common area bathrooms and 1 staff bathroom, currently occupying 34 residents and employs 7 staff with 2 being Administrators. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has dual smoke and carbon monoxide detectors. The lighting and lamps are sufficient for the use of the facility and for residents comfort. The facility kitchen is clean, safe and sanitary. Toilet, hand washing and bathing facilities are operational. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked in storage rooms. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard and courtyard for resident use with plenty of shade. The facility has telephone and internet service for resident use. Water temperatures were tested in resident restrooms and within regulation requirements.