Facility Evaluation Report

On 8/2/22, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Infection Control Inspection. LPA introduced self and allowed entrance by Direct Care. All COVID protocols are in place, sign in roster, temperature check, hand sanitizer available throughout facility. Tyson Vickers, Administrator Certificate #6051086735, expires 10/23/2023.

Facility tour conducted with Licensee, Adonica Vickers. LPA observed 5 residents present and 4 staff working. All common areas have sufficient lighting and seating for residents in care. Kitchen toured, menu observed to be posted on information board. Facility has a 2-day supply of perishable and 7-day supply of non-perishable available. All sharps are locked and secured in kitchen pantry. Three resident bedrooms are all private, the shared room has a minimum of 6 feet between beds. Resident bathrooms toured, LPA observed paper towels, hand soap, and hand washing signs available. Chemicals are locked and secured in kitchen cabinet as well as locked cabinet in the garage. Medication is locked and secured in hallway closet. All resident's have a 30-day supply of medication. Fire extinguisher present with a date of service of 5/06/22.

Outside of facility toured. Pool area is surrounded by locked perimeter fence and not accessible to residents.

No deficiencies cited during today's inspection.

Exit interview conducted. A copy of this report provided for facility records.