Facility Evaluation Report

Licensing Program Analyst (LPA) Yatfai Eric Ng conducted an unannounced infection control site visit. LPA met with the Administrator Debbie Cota.

One central entry point was designated for all staff, residents, and visitors. A temperature screening station, questionnaire, and sign in sheet were present at the entrance. LPA was temperature checked and screened before entering.

LPA toured the facility. The facility was observed to be in sanitary condition. All staff members and visitors were observed to be wearing masks. There were COVID-19 signs and hand sanitizer at the entrance and throughout the facility.

LPA inspected 2 restrooms. The restrooms were observed to be adequately stocked with paper towels, hand soap, and covered trash bins. Hand washing signs were present. Hand washing sign was also posted in the kitchen to remind the kitchen staff to wash their hands before handling food. There was an adequate supply of personal protective equipment in the storage areas.

LPA discussed the infection control with Administrator. LPA reviewed the current Provider Information Notice PIN 21-40-ASC with Administrator. All residents and all staff were fully vaccinated and required so according to facility's policy.

This report was reviewed with Administrator. A copy of this report were provided.