Facility Evaluation Report

On 10/21/2022, Licensing Program Analysts (LPAs) V. Gorban and S Hurt arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA introduced selves, stated the purpose of the visit, and was granted entry to the facility by DSP Rebecca Briam.

Visitor log-in/temperature check station was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Hand washing and other various Covid-19 related signs were observed in the common areas. Facility staff was observed with mask covering.

The facility was observed to be at a comfortable temperature, free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. Chemicals, and cleaning supplies were locked in a closet, Residents and stuff files were reviewed and locked in a closet in administrator's room. PPE were observed in sufficient amount of 30- day supply. A 2-day supply of perishable and 7-day supply of non-perishable food was observed to be properly stored and labelled. Resident's all five bedrooms were to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms have adequate lighting, hot water temperature to be in proper range of 115 degree Fahrenheit. Showers have non slip floor mats and trash cans have lids.

No deficiencies were observed and cited on todays visit. Exit interview conducted and copy of this report printed and left at facility.