Facility Evaluation Report

On 6/6/2022 at 2:25 PM, Licensing Program Analysts (LPAs) L. Hall and L. Fici arrived unannounced to conduct an Infection Control Inspection. LPAs met with Humphrey Kasweka, Caregiver, and explained the purpose of the visit. Administrator, Leea Burns arrived 2:50PM.

Upon entry, LPAs' temperature was checked and screening station was observed. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and back yard. LPAs observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap, paper towel, and hand washing poster. Hot water temperature in the shared clients’ bathroom was measured at 106.6 degrees Fahrenheit. Fire extinguisher was last serviced on 12/6/2021.

During record review, LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, paper supplies, and food are sufficient.

The following forms are to be updated and submitted to CCLD by 6/13/2022 :

-LIC308 Designation of Administrative Responsibility