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 evaluation, the facility is clear of COVID-19 infection. LPA Bunker met Licensing Gwendolyn "Gwen" Craig and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report and infection control plan. There are currently 3 Adult Residential Care Facility (ARF) consumers in placement. The facility's annual fees are up to date.

The following 12 Domains will be observed and evaluated: Infection Control, Physical Plant & Environmental Safety, Operational Requirements, Staffing, Personnel Records-Training, Client Rights-Information, Client 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."

Licensee Ms. Craig and LPA Bunker toured the facility, a two-story commercial residential facility located in a mixed-use business and residential neighborhood. The facility includes four (4) bedrooms, two (2) full bathrooms, a receptionist area, a living/family room, a dining room, an office, a kitchen, a laundry room, and a storage room. It features a shaded balcony patio and an indoor/outdoor activity area located at the rear of the building. A community parking structure is situated on the left side of the property. Three (3) exits are located in the upstairs entryway: near the dining room, the living room, and the back exit door adjacent to the laundry room. The front and backyard landscapes were in good condition.