Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an announced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Program Director She-ri Glendenning and explained the purpose of the visit. Facility is an Adult Day Care program. The facility consists of single floor divided into various work areas including: Life/Vocational Skills area, Music room, Arts/Crafts room, Relaxation room, Kitchen and two (2) restrooms. Water temperature in the bathroom measured at 116.2 degrees and toilets observed operable.

The last fire drill was completed on March 2020. None since due to program being remote for last 2 years

· COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept.

· Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote handwashing, cough/sneeze etiquette, and physical distancing.

· Facility has no designated isolation room as clients would not be allowed due to Covid positive.

· Five (5) activity rooms, common areas, bathrooms, and outdoor physical plant was inspected.

· Zero (0) centrally stored client medication records were reviewed as program is currently remote.

· Staff responsible for direct care and supervision were observed wearing masks.

· Clients were not present at time of visit as facility clients are all remote learning.

· Sufficient supply of non-perishable foods for 7 days was observed.

· A posted Emergency Disaster Plan was not observed.

· Staff and resident files were not reviewed during today's visit.

· Deficiencies cited (see 809D for details)

Exit interview was conducted with Director She-ri Glendenning. A copy of the report was provided .