Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 01/12/2023 at 2:31 PM. LPA met with Administrator/Licensee's Rodolfo and Veronica Pacaoan and explained the purpose of the visit.

LPA took a physical plant tour of the inside and outside 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 front door where everyone entering completes sign-in and symptoms screening. 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 picnic table with umbrella for resident outside use. All equipment and PPE supplies are kept in the staff office. Medications are kept in a locked medication filing cabinets in the staff office. 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 in conditions are 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 has 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 residing or working in the facility.