Facility Evaluation Report

On 3/21/2023 Licensing Program Analyst (LPA) Lavinia Muscan and Licensing Program Manager (LPM) Laura Munoz, arrived at the facility unannounced to conduct an annual visit using the care tool domain. LPA and LPM met with Program Director, Tim Harris and explained the purpose of the visit. Prior to initiating the visit, LPA and LPM completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA and LPM ensured they used hand sanitizer shortly after entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask.

LPA, LPM and Program Director toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, outside area and common restrooms. Facility has a 2 day perishable and a 7 day non-perishable amount of food. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, LPM and Administrator completed the care tool domain and facility was found to be in substantial compliance at this time. Facility has 6.

Administrator agrees to send in LIC500 and liability insurance.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report left at the facility.