Facility Evaluation Report

Licensing Program Analyst (LPA) Darius Wiliams conducted an unannounced Annual Inspection visit. LPA Williams met with staff and discussed the purpose of the visit. Administrator Cheryl McCraw arrived shortly after conducted and conducted a tour with the LPA.

LPA Williams observed a visitor/temperature log, masks, and disinfection station at the front entrance. Facility has one entry and exit point. General infection control signs were observed in the common area.

LPA Williams observed a two day supply of perishable food and seven day supply of non-perishable food. Cleaning supplies and medications were observed behind a locked door. LPA Williams observed facility staff wearing masks.

Staff have received training regarding Covid-19 infection control and mitigation.6 of 6 residents had up to date emergency contact information.

LPA Williams requested the following documents be sent to the Department by 11/23/2022; personnel report (LIC 500) ,designation of facility responsibility (LIC 308), and Administrator certificate.

An exit interview was conducted and a copy of this report was provided.