Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang, and Program Clinical Consultant (PCC) Roxane Fangon conducted Technical Assistant - PCC through tele-inspection (Zoom),and met with Administrator (ADM) Emad Qaddura.

The purpose of this TA PCC 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 which started at the main entrance to check COVID-19 signage and screening procedures. The facility has the COVID-19 posters at the main entrance including screening questionnaire forms, hand sanitizer, face masks, thermometer, glove, and a visitor log book at the screening station.

The facility common areas were inspected such as the kitchen, living room, family room, dinning area, laundry room, and bathrooms were observed. There are 3 resident bedrooms, 2 bathrooms in facility. Some trash cans were observed without covers. Some paper towels were observed without holders. Washing hands signs by the sinks were observed. Cloth towels were observed in the restrooms and kitchen. The laundry room was observed and inspected. ADM stated all the residents and staff are fully vaccinated with Pfizer and done with booster shots with Pfizer.