Facility Evaluation Report

Licensing Program Analyst (LPA) Olson conducted an on-site 1 year infection control annual visit to the facility above on 02/17/2022 at 12:35 PM. LPA met with staff and Administrator Jerry Pineda and explained the purpose of the visit. Upon entering LPA observed 2 staff not wearing masks when entering the facility. Staff eventually put masks on.

LPA took a physical plant tour of the inside and outside of the facility with staff. The facility has an entry point at the front door where everyone entering completes sign-in, symptoms screening and temperature check for all staff and visitors wanting to come into the facility however staff did not screen or take temperature of LPA upon arrival. All documentation is kept in a binder.

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 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. Administrator will inform staff they must 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 working or residing in the facility. Residents rights are not being violated. Residents and Responsible Parties are notified by facility when required.