Facility Evaluation Report

On 8/17/2022 at 10:30AM, Licensing Program Analyst (LPA) L. Ibo conducted an annual infection control inspection and met with S3, LPA called S1 and S2 and explained the purpose of the visit. S2 arrived at the facility after 45mins. LPA observed 5 residents during the visit. Facility has a completed mitigation plan and copy of infection control plan was requested to be submitted by 8/26/2022. LPA inspected the facility inside and outside. LPA observed COVID-19 signage 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.

Infection control designated leader is the Administrator. There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at 75 degrees Fahrenheit. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational.