Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 09/22/2022 at 10:56 AM. LPA met with Albert Gregorio,

Administrator and explained the purpose of the visit.

Administrator took LPA on a physical plant tour 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, hand hygiene and masking. All documentation is kept on file. The entry station has hand sanitizer along with a thermometer. The facility has signs posted through out the facility reminding social distancing, hand hygiene, reporting of symptoms. Activities have been modified to individuals or small groups with social distancing. The facility has several areas large enough to accommodate activities and exercise, all areas are spaced for social distancing. All PPE supplies are kept in the dining area accessible to all staff. Medications are kept in a locked Medication cart in the dining room. The kitchen area was clean, safe and sanitary, well stocked with perishable and non-perishable foods to meet the regulation requirements. The dining area is large enough to accommodate distancing between residents when eating meals, signs are posted to remind individuals of social distancing. 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 with any resident. All required postings are hung in common areas of the facility. Facility provides residents with masks when leaving the facility on any outings into the community. Staff remind residents to wear masks in common areas of the facility. Furniture has been moved around to accommodate social distancing for staff and residents. Residents medication is delivered in 30 day supplies to the facility.