Facility Evaluation Report

Licensing Program Analyst (LPA) Canela arrived unannounced, to conduct an Annual Required 1 YR inspection and was greeted by care staff, Linda Ramos. Administrator/Licensee Rose Devera arrived a few minutes later. The inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly.

Upon arrival, LPA observed that facility has Covid posters on the front door. LPA discussed visitation procedures with administrator, documenting & screening questions. Once inside the facility, LPA observed that facility has a sign-in for visitors, screening area with PPE . Staff wear masks inside the facility. LPA conducted a walk-through of the facility and observed Covid-19 posters that included hand washing signs in restrooms, but no paper towels. Facility was a comfortable temperature. Residents are encouraged to wear masks when in the community. Commonly touched surfaces are disinfected throughout the day.

Facility staff have been trained on PPE. Facility has submitted their Covid-19 Mitigation Plan and it was approved. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including but not limited to masks, face shields, gowns and hand sanitizer. PPE is in a location that is stored and accessible to staff. Facility maintains a 30 day supply of medication.

LPA observed the, "if you see something say something" complaint poster, but the poster is not the required size 20"x26". Facility will need to get and post the correct size, failure to correct will result in citation being issued.