Facility Evaluation Report

Licensing Program Analyst Ryker Heberle (LPA) and Licensing Program Manager Sarah Yip (LPM) conducted a tour of the facility in response to a recent COVID-19 outbreak among residents. LPA and LPM met with the facility's Business Office Manager Christine Montelaro (BOM).

LPA and LPM toured the facility with BOD including facility entrance, dining hall, kitchen, 4 public restrooms, PPE storage closet, hallways to resident rooms, screening room, bingo room, courtyard, and outdoor visitation areas. LPA and LPM observed numerous factors indicating that the facility was not currently following mitigation plan, including residents eating in dining hall without social distancing, PPE carts outside of isolation rooms lacking necessary PPE items, no social distancing, masking, or other precautionary signage, and no check in/screening table in the entrance area, no separate break area for staff members assisting COVID positive residents, and staff designated as assisting positive residents also assisting negative residents.

LPA and LPM made the following recommendations for the facility to implement effective immediately:

1) Post COVID precaution signs on the door of designated central entry point

2) Ensure that precautionary signs are posted in all common areas/front doors

3) Reestablish sign-in table at the front area for entry screening

4) Handwashing signs to be posted above all sinks in bathrooms, kitchens, break rooms, etc.

6) Use one of the currently closed common rooms as a break room for staff members that work with COVID positive residents

7) Close dining hall for the duration of the outbreak