Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced Required - 1 Year Annual 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 with Administrator Precious Dennis and explained the purpose of today's annual inspection. LPA verified that the facility has an approved Mitigation Plan Report and Infection Control Report. There are currently six (6), Residential Care Facility for the Elderly (RCFE) residents in placement. The facility's annual fees are up to date.

The following 12 Domains will be observed and reviewed: Infection Control, Operational Requirements, Physical Plant & Environmental Safety, Staffing, Personnel Records-Training/Staff Training, Resident Rights-Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records/Incident Reports, Disaster Preparedness, and Resident with Special Health Needs. "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. Administrator Precious and LPA Bunker toured the facility, which consisted of the following: a living room, four bedrooms, two bathrooms, one half-bathroom, a dining room, a kitchen, a laundry area, an office, a detached garage, and an indoor/outdoor activity area. There is a shaded outdoor space furnished with patio furniture, including tables and chairs. Bedrooms #1-4, and bathrooms #1-2 are designated for the residents.