Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to conduct an Annual Required inspection and met with caregiver, Rose Taylor. Administrator, Sarah Araya arrived later. The inspection is focused on the Infection Control procedures and practices of this facility.

Upon arrival, LPA was asked to sign in and answer a questionnaire with standard Covid-19 screening questions. LPA confirmed that facility is no longer requiring vaccination verification per recent guidance. LPA initiated a walk-through of the facility around 12:10pm and observed the following: Facility has COVID-19 posters throughout that include hand washing signs in bathrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Staff had masks on during this visit. Commonly touched surfaces are disinfected twice per day. Facility continues to screen staff and residents and maintains documentation.

Facility has a designated visitation area outside and is allowing for visitation inside per CCL guidance. Staff continue to receive training on infection control and donning and doffing of Personal Protective Equipment (PPE).

Facility has more than a 30 day supply of PPE including but not limited to masks, gowns, gloves and hand sanitizer. Facility maintains a 30 day supply of medication. Fire extinguishers were last serviced December 2021. Smoke detectors and Carbon Monoxide detector were tested and operational.