Facility Evaluation Report

Licensing Program Analyst LPA Shawna Doucette conducted an Annual Infection Inspection on this date. LPA was met by Staff Ron Cordy and discussed the purpose of the visit. Administrator Tiffany Bell was not available to assist with the visit. The facility has a mitigation plan however it is not on the LIC 808. Staff Ron Corby will submit the LIC 808 and change of Administrator documents to CCL by 8/26/22.

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.

Facility has a two day perishable and a seven day non perishable supply of food. Cleaning supplies were observed locked in closet in the laundry room. LPA observed the following personal protective equipment in office; 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.

Exit interview was conducted and a copy of this report was provided