Facility Evaluation Report

Licensing Program Analyst LPA Shawna Doucette and Vadim Gorban conducted an Annual Infection Inspection on this date. LPA was met by Staff and discussed the purpose of the visit. Licensee Michelle Ligon responded to the facility to assist with the inspection. LPA and Licensee Michelle Ligon began the tour at the front entrance/office of the facility.

Visitor log-in/temperature check, masks, and disinfection station was observed upon entry. Facility has one entrance/exit point. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common areas. Covid-19 related signs were observed in the common areas.

Cleaning supplies were observed locked in hall closet. LPA observed the following personal protective equipment in a storage cabinet; gowns, gloves, face shields, hand sanitizer and masks. LPA observed all facility staff to be wearing masks upon arrival.

Resident’s files have updated emergency contact information. LPA's reviewed staff training for Covid.

See 809D for deficiency. Civil Penalties were issued for added staff bedroom in garage that is not fire cleared.

Exit interview was conducted and a copy of this report and appeal rights were provided