Facility Evaluation Report

On 12/20/2022 at 10:00 AM Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an infection control annual inspection. LPA met with Administrator William Tucker and backup Administrator Maureen Lee. Facility has census of 5. There was no client observed during the LPA visit, per Administrator and backup Administrator, all clients are out working, and others are in day program.

LPA toured the facility with Maureen Lee, including but not limited to the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards . All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Visitors policy is posted on the front entrance. 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, residents 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 (mask). Facility has a mitigation plan an infection control plan was received and reviewed during the visit. Facility maintains record of routine screening for residents and staff.

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