Facility Evaluation Report

On 12/1/2022 at 9:50 AM Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an annual required inspection. LPA met with backup Administrator Maureen Lee and Administrator William Tucker. Facility has census of 6.

LPA toured the facility with Maureen Lee, including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Visitors policy is posted on the front entrance. Clients bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Medications are centrally stored in a locked area that is inaccessible to clients and refilled every at least 30 days. Smoke detectors and carbon monoxide were in operating condition during visit.

Facility has enough supplies of PPEs, paper supplies and hygiene supplies. There is one central entry point for universal screening for staff, clients and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has infection control plan and maintains record of routine screening for residents and staff.

Exit interview conducted. Appeal Rights and copy of this report provided.