Facility Evaluation Report

On 02/23/2023 at 10:00 AM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. Upon entry, LPA explained the purpose of the visit with Administrator (ADM) Connie Vigo. ADM and LPA toured facility inside and outside.

Facility has an infection control plan in place 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 thermometer. Facility follows daily cleaning, sanitation of frequently touched common surfaces with disinfectants. COVID-19 signs were posted to promote hand washing, cough/sneeze etiquette and physical distancing.

The LIC 610D Emergency/Disaster plan was in the Disaster Plan binder. Centrally stored medications were in locked cabinets. The temperature inside of the facility was 82.4 and the hot water was 106 degrees Fahrenheit, both of which were in the safe range. Toxic chemicals and sharp objects were stored in locked closets and cabinets. Carbon monoxide and smoke detectors were fully functional and the fire extinguishers were fully charged and had been serviced within one (1) year. An administrator is on site more than the required 20 hour minimum each week to oversee business operations.

ADM will send updated copies of these documents are to be submitted to CCL on or before 03/02/2023:

· LIC308 - Designation of Facility Responsibility

· Evidence of Liability Insurance & Surety Bond

No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided via email.