Facility Evaluation Report

Licensing Program Analyst (LPA) Yatfai Eric Ng conducted an unannounced infection control site visit today. LPA met with the Caregiver-in-Charge Joseph Megwe. Later came the House Manager Nina Francisco.

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

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

LPA inspected 2 restrooms. The restrooms were observed to be adequately stocked with paper towels and hand soap. Trash bins with lids were present. Hand washing signs were present.

Facility was observed to have an adequate supply of PPE in the storage area. LPA discussed the infection control with the House Manager and the Administrator Amy Hellyer over the phone. LPA made recommendations and discussed the PIN 21-10-ASC . 4 out of 5 residents were fully vaccinated per Administrator. House Manager and Caregiver-in-Charge were fully vaccinated also.

Advisory note (LIC 9102) was issued. No deficiency cited during visit.

This report was reviewed with the House Manage.

A copy of this report and advisory note were provided.