Facility Evaluation Report

Licensing Program Analyst (LPA), Erik Gonzalez Campos arrived unannounced to conduct a Required - 1 Year inspection at approximately 11:00 AM, and met with staff, Maria Mejia. The inspection is focused on the Infection Control procedures and practices of this facility. LPA called administrator Alfonso Galvez who agreed to have LPA perform inspection with staff.

Upon entry LPA was screened for COVID symptoms and asked to sign in by staff. At primary entrance LPA observed visitor sign-in sheet. LPA conducted walk through of the facility with staff and observed COVID postings throughout. Mitigation plan was submitted by licensee and reviewed by Community Care Licensing.

Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Per staff, updated infection control guidelines and PINs are communicated to responsible parties verbally. Staff have completed Personal Protective Equipment (PPE) and infection control training through local public health. Staff have not been N95 fit tested. High touch surface areas are disinfected daily. Due to current facility census residents could isolate in their own rooms if they became ill. LPA observed necessary PPE to support a resident in isolation. Residents are monitored daily for symptoms and screened upon returning from outings.

Residents' emergency contact information has been updated and staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible to residents. Medications are centrally stored and inaccessible to residents. Facility is conducting COVID-19 surveillance testing per CCL guidelines. All residents have received their booster shot. All staff have received their booster shot, except for two who test weekly.