Facility Evaluation Report

Licensing Program Analyst Ryker Heberle (LPA) arrived at the facility to conduct an unannounced annual inspection. Upon arrival at the facility, LPA knocked on the door and rang the door bell. LPA was unable to hear whether or not the doorbell made any noise. After nobody answered the door, LPA opened the door and called out for staff in the facility. LPA was greeted by Administrator Cecelia Eustaquio (Admin). Admin was not initially wearing a mask, but put on a cloth mask upon conversing with LPA.

LPA told Admin that he was at the facility to conduct the annual inspection. Admin stated that she was currently positive with COVID and asked LPA to come back later. Admin stated that they had been diagnosed with COVID 7 days ago but that she was now all clear. LPA asked Admin if she had reported her COVID positivity to licensing, Admin stated that she had not gotten around to it. While LPA and Admin were conversing, an unidentified resident (R1) came into the entryway. R1 was not observed to be wearing a mask. Upon request of Admin, LPA called Assistant Administrator Merv Reyes (AA) to discuss the matter further. AA indicated that Admin did not live at the facility, but did go

In further conversation with AA, AA indicated that a resident of the facility had been COVID positive in early January after having been abroad for the holidays. Resident contracted COVID while en route back to the facility, but did not return to the facility until their COVID positivity was cleared.

Due to COVID exposure at the facility, LPA did not conduct that annual inspection

Deficiencies cited, see 809-D. This report was reviewed with Assistant Administrator Merv Reyes and a copy of this report was provided.