Facility Evaluation Report

Today, Licensing Program Analyt L. Xiong arrived at the facility unannounced to conduct the . LPAs met with Asst. Administrator Andrea Duran informing her the purpose of the visit.

Mitigation plan has been submitted Licensing. Infection control procedures described in the plan and observed by LPAs include: Daily symptoms screenings (for staff, persons in care and visitors), visitation policy, quarantine/isolation procedures, surveillance testing, infection control plan and identification of Andrea Duran as the Infection Control Lead, emergency staffing, PPE use, infection control training and procedures, documentation, postings and communication. LPAs reviewed Mitigation Plan and procedures with the House manager and Administrator.

LPAs toured the facility inside and out. Required postings of signs to include hand washing, coughing etiquette and physical distancing were observed in the facility. Staff were all observed wearing face coverings. Facility has designated visitation areas. LPAs observed a 30 day supply of PPE and resident medications. Sinks are well stocked and liquid soap for hand washing and paper towels for hand drying were observed.

Fire extinguisher present with a service date of 4/2023. Carbon monoxide detector and smoke detectors present and observed to be operational during today's inspection. Water temperatures measured at 105 degrees F.

Through LPA’s observations, documentation review and interview with Asst. Administrator, the required infection control practices are found to be in compliance. No deficiencies cited on today’s inspection.