Facility Evaluation Report

On August 25, 2021, Licensing Program Analyst (LPA) Michael Garcia conducted a case management tele-visit to provide Technical Assistance (TA) to the facility regarding COVID-19 with the assistance from Helen Shi, RN, licensing program clinical consultant. The TA visit was conducted with Mnemosyne Vega, administrator.

The facility's COVID-19 mitigation protocol was discussed. A resident room and the facility’s common areas were toured including the garage/screening area, dining room, backyard, and restrooms.

The TA visit resulted with the following recommendations:

- Assign a designated staff to conduct screening of COVID-19 symptoms.

- Document vaccination status of visitors.

- Post updated poster (provided) of Symptoms of Coronavirus (COVID-19) at the screening area and at common areas of the facility.

- Provide staff training regarding how to recognize symptoms of COVID-19.

- Provide staff training regarding how to wear full Personal Protective Equipment (PPE).

- Post proper donning and doffing of PPE at the garage/screening area.

Administrator shall ensure to email a signed and dated action plan regarding the above recommendations to LPA within 24 hours.

Report reviewed and discussed with administrator at the end of the visit.

An electronic copy of the report was emailed to administrator for signature.