Facility Evaluation Report

On 04/20/2022 at 12::00 PM, Licensing Program Analyst (LPA) J. Sampair conducted an unannounced infection control and required one year inspection. Upon arrival, LPA explained the purpose of the visit to Licensee Jill Bragg who led a tour of the facility inside and outside.

They are following their COVID-19 mitigation planning closely. The LPA observed staff wearing face masks, screening checks with a no-touch temperature probe and the use of a visitor's log, and hand sanitizer, gloves, and face masks for visitors. LPA observed COVID-19 signs posted in common areas to promote hand washing, cough/sneeze etiquette, and physical distancing. In the facility, staff check and log temperatures and COVID-19 symptom checks daily and log that data daily.

During the visit, pathways were observed to be free of obstruction and fire hazards. Last Fire drill was conducted February of 2022.. Facility room temperature was maintained at a comfortable 72.3 degrees Fahrenheit and the hot water temperature was 120 degrees Fahrenheit.

The facility was cited for a Type A deficiency because of the two non-functioning door alarms.

Exit interview conducted and a copy of this report was provided