Facility Evaluation Report

On 12/20/23 at 11PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required inspection. LPA met with administrator (ADM) and explained the purpose of the visit.

LPA toured the facility including but not limited to the front entrance, screening station, hand washing stations, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, clients and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizer were observed at the screening station. Cough/sneeze etiquette, social distancing signs were posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPEs maintained at a central location and easily accessible for staff. Comfortable temperature is maintained at 71 deg F. Facility has a mitigation plan in place and maintains records of routine screening for clients and staff. The infection control leader is the ADM. Fire extinguisher was observed fully charged and last inspected on 06/06/23. LPA reviewed 3 staff and 5 client files. LPA observed P&I monies matched record logs and kept separate from facility funds.

LPA obtained the following documents from ADM:

· LIC308- Designation of Facility Responsibility

· LIC610D- Emergency/Disaster Plan including infection control plans

No deficiencies were observed during visit. Exit interview conducted and a copy of this report provided.