Facility Evaluation Report

On 3/28/22, Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Infection Control Inspection. LPA was met by Licensee, Diana Rico and stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point.

Facility appeared cleaned with no obstruction or fire clearance issues. Facility is equipped with pull station and sprinkler system. Fire extinguisher present with a service date of 1/28/22. Carbon monoxide detector present and observed operational. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Bedrooms were checked and beds are six feet apart.

LPAs checked residents’ medications and observed a 30-day supply. Food supply was checked and observed to be adequate for residents in care. Facility has adequate supply of PPE supplies available. Staff records were reviewed for good health and infection control training. Facility staff was observed with mask on.

No deficiencies were observed. Exit interview was conducted. Licensee was informed that as a COVID-19 precautionary measure, this report will be emailed. Facility inspection report was signed on site.