Facility Evaluation Report

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced site inspection on 04/15/2022 to ensure that the facility had implemented all recommend COVID-19 precautions from previous Department visits, as well as HAI inspection conducted on 04/13/22. LPA met with facility Business Operations Managers Christine Montelaro and Patricia Olvera (BOMs). Interim Executive Director Robert Alverado attended telephonically.

LPA observed for implementation of following recommendations:

1. N95 respirators should be designated for healthcare and fit-tested for all Healthcare Personnel - LPA confirmed with Administrator Robert that N95s of various sizes have been ordered and staff have been informed to visit clinic for fit testing.

2. The CDC guidance states that HCP working in facilities located in counties with substantial or high transmission should also use Eye protection d uring all patient care encounters. - LPA did not observe staff providing patient care, but obserbed adequate supply of eye protection

3. Continued cooperation from the residents to wear masks while in the hallways and public areas of the facility. - All residents observed to be wearing face masks in common areas

4. To decrease risk of transmission, continue to encourage social distancing in break rooms by separating tables and chairs and providing signage indicating that staff must eat at separate tables. - Break rooms observed to be properly set up to accommodate social distancing

5. The disinfectant wipe used by the facility is not on the EPA List N for disinfectants effective against COVID-19. - LPA observed disinfectants wipes and confirmed ordering of additional supplies

6. There was not signage delineating transmission-based precautions. - LPA observed signage posted in all common areas, transition signage not observed in 300 hallway. PPE signage observed in all necessary locations