Facility Evaluation Report

On 9/26/2022 at 10:10AM , Licensing Program Analyst (LPA) L. Ibo conducted an infection control annual inspection and met with S3, LPA called Licensee/back-Administrator (S1) and explained the purpose of the visit. At around 12:10PM, S1 arrived at the facility. Facility have census of 5.

Facility has a completed mitigation plan and copy of infection control plan was received. 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 (S2). There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at 78 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.