Facility Evaluation Report

On 04/22/2022 at 02:20 PM, Licensing Program Analyst (LPA) L. Holmes conducted an unannounced annual infection control inspection and explained the purpose of the visit with Staff, Robin Wimberly (S1). S1 stated that she was the only staff person available. At 02:28 PM, LPA called the Administrator, Vernette Suggs (ADM). ADM explained that she is out of the office to support another staff member with a family medical issue and that S1 can sign the report. LPA observed two (2) clients sitting outside and (4) clients relaxing and watching television in the TV room.

The facility has a COVID-19 mitigation plan in place and on file. LPA observed a screening area located near the front entrance with no touch temperature probe, hand sanitizer, masks, and visitor log. LPA obtained a resident and staff roster, discussed staffing schedules and inspected the facility inside and outside.

LPA observed COVID-19 signs posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Pathways were observed to be free of obstruction and fire hazards. First Aid kit observed complete. LPA observed hot water measure at 105.5 and facility room temperature at 72 degrees Fahrenheit. There was a sufficient supply of 7-day perishables and 2-day supply of non-perishable foods. PPE's and paper supply are adequate. Fire extinguisher appeared full and was last serviced on 04/19/2022. Smoke/carbon detectors are combined and observed operational. ADM arrived at 03:35 PM and discussed infection control with LPA..

Exit interview and a copy of this report provided.