Facility Evaluation Report

On 06/17/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived for an unannounced case management site visit. The LPA met with Reshmika Sharma, Director of Resident Services (S1), introduced herself, and explained the purpose of the visit. The purpose of the visit was to check-in with facility management about the recent COVID outbreak at the facility, which the facility had self-reported via email and submission of LIC 624 incident reports. The LPA conducted an interview of S1.

Background Info: On 05/25/2025, S1 emailed the LPA to inform her that there was a COVID outbreak at the facility. S1 attached a COVID line list that listed six residents and 3 staff who had tested positive for COVID. S1 emailed an updated COVID line list on 06/06/2025 that listed a total of fifteen adults and nine staff (including those listed on the 05/25/2025 list) who had tested positive COVID.

Interview: The LPA asked S1 to describe some of the infection control practices that the facility management implemented during this outbreak. S1 stated that the facility kept a close eye on residents and tested all residents who showed COVID-like symptoms, even those residents who just presented as more tired than usual. S1 stated that it isolated COVID-positive residents in their room to the extent possible, provided masks to residents and visitors, and tested other residents who had been in close contact with COVID-positive residents within seventy-two hours. Management also temporarily moved COVID-positive residents who lived in double-occupancy rooms into single-occupancy rooms to protect their roommates. S1 stated that isolation and temporary relocation helped stop the spread of the disease. The LPA asked S1 if management thought that the facility's infection control policy needed to be updated as a result of this outbreak. S1 stated that she did not think so and that their current policy provided adequate guidance.