Facility Evaluation Report

On 09/08/22, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced Annual Required visit with a primary focus on infection control measures. Upon arrival at the facility, LPA met with administrator Delores Davis and conducted a risk assessment. Based on the assessment, the facility is clear of Covid-19 infection. LPA was granted access and allowed to enter the facility to conduct the inspection, and the purpose of the visit was explained. LPA was properly screened for Covid-19 symptoms and temperature was checked and logged in the visitor’s book.

The facility is licensed to serve age range 60 and over; with a capacity of six (6). Approved for three ambulatory (3) and three (3) non-ambulatory residents; with a hospice waiver for three (3). Currently there are four (4) residents in care. The facility has (2) Non-ambulatory Residents and (2) Ambulatory Residents. There are two shared bathrooms and three bedrooms. Facility Carbon Monoxide and Smoke Detectors were tested. All alert systems are working properly. The facility has two (2) Fire Extinguishers that were fully charged. Last fire drill was completed on 07/21/22.

During the tour, 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 additional supplies are stored. Sufficient paper, cleaning, and disinfecting supplies were observed. The facility’s designated visitation area is in the front living room. LPA observed staff wearing face coverings. LPA also observed covid postings throughout the facility. LPA observed the facility has a 90-day supply of Personal Protective Equipment (PPE).