Facility Evaluation Report

On 05/17/22 at 12:15PM, Licensing Program Analyst (LPA) James Sampair conducted an infection control annual inspection. LPA explained the purpose of the visit with S1 and S2 upon entry who assisted in the tour of the facility inside and outside until Administrator Olubunmi "Anthony" Oshinowo arrived at approximately 1:00PM.

Facility has a COVID-19 mitigation plan in place dated 03/03/21 that they are following. The designated infection control leader is the administrator. They have one central entry point that has been designated for universal entry screening with the station located near the front entrance with visitor's log, hand sanitizer, face masks, and no touch temperature probe. COVID-19 signs were posted throughout the facility to promote hand washing, cough/sneeze etiquette and physical distancing. Facility follows daily cleaning, sanitation of frequently touched common surfaces with disinfectants.

All staff and clients have been fully vaccinated. The LPA and Administrator discussed the infection control plan from the PIN 22-13-ASC that will need to be created for the 06/30/22 due date. However, they were issued a citation for not having the required 30 day supply of PPE.