Facility Evaluation Report

Licensing Program Analyst (LPA) Dina Alviso , arrived to conduct an 1 Yr Required inspection and met with Licensee/Administrator Joyce Kamau. The inspection is focused on the Infection Control procedures and practices of this facility.

The LPA was screened by the Administrator upon entry. LPA's temperature was taken and covid screening questions were asked. Administrator logged all the information.

Mitigation plan was reviewed during the inspection, Administrator will revise as discussed, and resubmit to the LPA by 8/24/21. Administrator's RCFE certificate is active-expires 5/23/2023.

There were four (4) residents in care at the facility during this inspection. All visitors, essential visitors, and staff are screened upon entry; Temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Clients are screened daily, and observed for any changes throughout the day while in care, all information is logged.

Facility was found to be clean, orderly, and at a comfortable temperature with exits free from obstruction. Food supply was sufficient. Fire extinguishers were serviced and tagged. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications are stored and locked making them inaccessible to clients in care. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). Administrator had a mask on during the LPA's inspection. Clients were observed with masks on when leaving their rooms and going into common areas.

No deficiencies found in the areas inspected.

Exit interview conducted with the Administrator.