Facility Evaluation Report

On 12/29/2022 at 9:30 am, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit with a primary focus on infection control measures, using the new care tool. LPA was met by the Samrach Chhuon, staff, and the purpose of today’s visit was explained. The facility is licensed to serve 4 ambulatory residents 18 to 59 years of age. The facilities annual fees are current.

As part of the inspection, my primary focus was on infection control. LPA observed the facility’s infection control practices: LPA observed a sanitizing station at the facility entrance. PPE supplies are readily available to staff and residents, and additional supplies are stored. Sufficient paper, cleaning, and disinfecting supplies were also observed. The facility has the mandated COVID infection control posters. My temperature was taken at the entrance of the facility where there is a sanitizing station and a logbook for visitors to check in.

LPA Scott and Mr. Chhuon toured the facility. All client rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. LPA Scott further observed the facility to be clean and appropriately furnished at the time of visit. Bathrooms were observed to be clean and operational. LPA observed that the fire extinguisher was fully charged and there were no bodies of water on the premises. All windows and window screens were in good condition. The water temperature was within guidelines and measured 113.9 degrees f. Smoke/Carbon monoxide detectors were operable. The last disaster drill was completed on 10/30/22.