Facility Evaluation Report

At 2:00 pm, on 2/14/2022, Licensing Program Analysts (LPAs) Darlene Chavez and Jenny Olson conducted an unannounced annual infection control inspection of the facility above. LPAs met with Maria Lopez, Assistant Administrator, and Lixia Zhang, Licensee/Owner, and explained the reason for the visit. LPAs and administrator toured the facility.

LPAs’ initial tour of the facility resulted in the following observations: At 2:03 pm, LPAs were screened upon entry to the facility by staff, however, the facility does not maintain a visitor log with details for tracking purposes. LPA Chavez instructed licensee to have a separate visitor log with details and screening checks. Licensee will send a photo of the visitor log to LPA Chavez. Between 2:16 pm and 2:44 pm, LPAs observed five fire extinguishers, two of which had no inspection tags and the remaining three were out of compliance due to the last inspection being on 1/11/2021. Licensee will get the fire extinguishers inspected and send a photo to LPA Chavez.

At 2:45 pm, LPAs did not find Provider Information Notices (PINs) nor PIN summaries posted in the facility. Licensee will print PINs and/or PIN Summaries and place in a binder and place in a common area or post on a wall/board in a common area and send a photo to LPA Chavez of PINs/Summaries posted in the facility.