Facility Evaluation Report

Licensing Program Analyst's (LPA's) Olson and De Leon conducted an on-site 1 year infection control annual visit to the facility above on 02/24/2022 at 9:50 AM. LPA's met with Administrator Cheryl Marsh and explained the purpose of the visit.

LPA took a physical plant tour of the facility with staff. 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, symptom questionnaire and temperature screening on all staff and visitors wanting to come into the facility. All documentation is kept in a file. The entry station has hand sanitizer along with a thermometer. The facility has multiple areas spaced to accommodate as much space as possible for social distancing. The facility has a large courtyard for resident use with a couple umbrellas. All equipm ent and PPE supplies are kept in the storage closet. Medications are kept in a locked medication room. The staff screen residents for symptoms and temperature at least once a day and documentation is kept on file. Increased monitoring is conducted if any change of condition are noted or any residents are showing any signs, symptoms or a temperature. Signs are posted on the front door, entry area 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 have 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. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. Continued 809-C