Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced Required - 1 Year Annual visit. The primary focus is on the Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Bunker called the facility and spoke to Administrator Vanessa Lee via telephone to conduct a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection.

LPA Bunker met with Administrator Vanessa Lee and explained the purpose of today's visit. LPA Bunker was properly screened for COVID-19 symptoms and temperature was checked. LPA observed a sanitizing station at the facility front entrance; visitors log with COVID-19 screening and temperature log, and records of daily COVID-19 screening and temperature checks of residents and staff. PPE supplies are readily available to staff, and an additional over 90-day supply of PPE is stored in the storage closet; sufficient paper, cleaning, and disinfecting supplies were observed. LPA reviewed the facility’s surveillance testing records. LPA verified that the facility has an approved Mitigation Plan Report. Ms. Lee stated staff and clients are fully vaccinated. The facility is licensed for two (2) ambulatory clients.

LPA Bunker toured the entire facility inside and outside grounds. The facility is a single-story family home located in a residential neighborhood. The facility consisted of the following: Living room, dining room, kitchen, four (4) bedrooms, two (2) bathrooms, laundry closet, indoor/outdoor activity area, covered patio shaded area, detached two (2) car garage, front and back yard landscape is in good condition at the time of visit. Documents were posted as mandated. During the tour, LPA Bunker observed the facility’s infection control practices. Bedrooms #1-4 are designated as client's bedrooms