Facility Evaluation Report

Due to a positive COVID-19 case in the facility, Licensing Program Manager (LPM) Sarah Yip and Licensing Program Analyst (LPA) Yatfai Eric Ng conducted a Case Management - COVID-19 - tele-visit via FaceTime, to provide a technical assistance to prevent and to mitigate the spread of COVID-19 at the facility. LPM and LPA met with the Program Director (PD) Mark Nielsen .

The tour started at the parking lot where staff would temperature check and screen the clients before they are allowed to exit the vehicles and enter the facility in the morning. A screening station with thermometers, hand sanitizer, masks, gloves, sign-in sheet, and COVID-19 questionnaire was also present at the entrance. There were COVID-19 signages at the entrance and throughout the facility. Hand sanitizers were readily available in different areas. All staff in the facility wore masks at all time. 2 Restrooms were toured. Soap, paper towels, and personal protective equipment (PPE) such as gloves, masks, and wipes were present. Hand washing signs were posted. The facility purchased more tables in order to seat the clients at least 6 feet apart. Sneezeguard s were procured to divide the clients. The facility cleaned and sanitized the high traffic areas twice a day. PD audited and ordered PPE supply regularly to make sure there was a sufficient supply. Screening procedure and isolation practice were reviewed.

The following infection control practices were suggested:

Review the Provider Information Notices PIN 21-40-ASC about the latest visitation guidance from the Department.

Replace all trash bins without lids with foot-operated trash bins with lids

No deficiency cited during visit. PD stated the recommendations would be reviewed and implemented.

This report was emailed to PD to review and to obtain a signature.