Facility Evaluation Report

Licensing Program Analyst (LPA) Spencer conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA Spencer was greeted by administrator Lashon Johnson and discussed the purpose of today's visit. This single-story home contains four (4) bedrooms, two (2) bathrooms, living room, kitchen, dining area, backyard, and detached garage.

The facility had a universal entrance screening area including a thermometer, PPE, and sign-in sheet.

COVID-19 signage was placed in several areas of the facility but was missing upon entry.

Facility maintained a 30-day supply of PPE.

There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods.

Cleaning solutions and sharps were not locked up. At 10:20 a.m., LPA observed chemical solutions/detergents and sharps were placed in an unlocked drawer. Staff locked it at 10:22 a.m.

Water temperature was measured and were within the required 105-120 degrees F.

Each room contained required furniture including bed, dresser, night stand, lamp and chair.

Each bed contained all of the required linen including mattress cover, fitted sheet, flat sheet, blanket and comforter.

Bathrooms contained hygiene supplies including liquid soap, paper towels, and toilet paper.

Medications were locked, centrally stored, and given as prescribed. 30-day supply was maintained.

Staff wore face masks consistently throughout the shift and group activities were spaced to encourage physical distancing.

Smoke detectors/carbon monoxide detectors were present and operable.

A fire extinguisher was observed to be fully charged and last serviced November 2020.

Client files were inspected and emergency contact information and physician's reports were up-to-date.

All staff files were inspected and contained required health screenings, criminal record clearances, and training certificates. Administrator certificate expires 5/2022.

Pursuant to Title 22, a deficiency was cited on attached 809D. An exit interview was conducted and a copy of this report was provided to the administrator.