Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced required 1- year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA Bunker met Administrator Mehul Patel and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved Mitigation Plan and Infection Control Reports on file. There are currently 12 residents in placement. The facility's annual fees are current.

The following Domains will be observed and reviewed: Infection Control, Physical Plant and Environmental Safety, Operational Requirements, Staffing, Personnel Records-Training, Clients Rights-Information, Clients Records-Incident Reports, Food Service, Health-Related Services, Incidental Medical Services, Disaster Preparedness, and Emergency Intervention, "LPA Bunker will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services facility inspections.

Administrator Mehul Patel and LPA Bunker toured the above facility which is a two-story converted hotel building located in a business area that consists of: 18 bedrooms, 18 bathrooms, a kitchen, a dining room, a laundry room, a storage room, 7 detached carport, shaded area, indoor/outdoor activity areas. During the visit, Mr. Patel and LPA Bunker observed residents' bedrooms and bathrooms.