Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang, Licensing Program Manager (LPM) Sarah Yip, and Program Clinical Consultant (PCC) Lori Kopplinger conducted Technical

Assistant - PCC through tele-inspection (Zoom) and met with Administrator (ADM) Dodie Arines.

The purpose of this Technical Assistance (TA) Tele visit was to review the facility COVID-19 infection mitigation plan and conducted inspection of the facility to ensure plan is being carried out and to provide support and guidance to staff in mitigating the spread of virus.

During tele-visit inspection, a tour of the facility was conducted including the main entrance, living room, bedrooms, restrooms, dining room, kitchen, laundry room. Cloth towels were observed in restroom and kitchen. No N95 masks was worn by staff. No COVID signage was posted at the main entrance door. Positive resident was observed not isolating in room. PCC nurse discussed the situation and measures with ADM.

ADM stated all the staff and residents are fully vaccinated and boosted.

Based on today's inspection, below are the recommendations: