Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Inspection, focusing on Covid-19 Protocols and Practices. LPA was met outside by a Lead Staff who had LPA take a Covid test prior to entry to the facility. All visitors, essential visitors, and staff are screened upon entry and temperatures are taken. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored and locked in a small med room making them inaccessible to residents and staff that do not handle medications. All bathrooms had soap and paper towels. All Covid-19 postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). All staff had a mask on during the LPA's inspection. Mitigation plan was approved by the Department on 07/15/2021. Infection Control Plan was received by the Department on 06/30/2022.

There were ten (10) residents in care at the facility during this inspection.

No deficiencies during today's inspection.

Exit interview conducted with the Ashley Murillo