Facility Evaluation Report

On 05/10/2022 at 02:40 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an Infection Control Inspection, LPA was greeted by one staff upon entry and explained the purpose of the visit. Administrator, Amanda Eicher (ADM) was telephoned by the staff member and Amber Avalos, Community Programs Director was advised to assist me.

Facility has a COVID-19 mitigation plan on file. LPA requested a staff and resident roster. LPA observed a screening station at the entry with COVID-19 signage, a visitor sign-in log, thermometer, sanitizer, and masks. There is a surplus of PPE centrally located. LPA observed hand washing and COVID-19 signs posted. All hand washing stations were equipped with soap, paper towels covered and covered garbage cans. Hot water temperature in the shared clients' bathroom was measured at 108.2 degrees Fahrenheit (F). Fire extinguisher last inspected 02/09/2021 and was observed full. Smoke/Carbon Monoxide detectors were observed operational. Amber was advised to service the fire extinguisher and first aid kit is complete.

The following forms are to be updated and submitted to CCLD

-LIC308 Designation of Administrative Responsibility

-LIC610 Emergency Disaster Plan (Reviewed)

-An updated copy of Administrator Certificate(s)

Exit interview conducted and a copy of this report provided.