Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced, required one-year annual visit with a primary focus on Infection Control measures and the use of the new CARE Inspection Tool. Upon arrival, LPA Bunker conducted a risk assessment. Based on the findings, the facility is clear of COVID-19 infection. LPA Bunker met with Licensee/Administrator Mrs. Shirley A. Jones 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 nine (9) Adult Residential Care Facility (ARF) – Mentally Disabled residents in placement. The facility’s annual fees are current.

The following 12 Domains will be observed and reviewed: 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."

The facility is a single-story family home located in a residential neighborhood. Licensee Mrs. Jones and LPA Bunker toured the facility, which consisted of the following: Living room, office, 2 kitchens, dining area, 5 bedrooms, 2 bathrooms, freezer/storage room, laundry area located in the garage, shaded area, indoor/outdoor activity areas, and a detached garage. The front and backyard landscape is in good condition at the time of the visit.