Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced, required one-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 was properly screened for COVID-19 symptoms, and their temperature was checked. LPA Bunker met staff member Frank Jacque and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report. There is currently one(1) Adult Residential Care Facility (ARF) consumer in placement. The facility's annual fees are up to date.

Staff member Mr. Jacque and LPA Bunker toured the facility. The facility is a single-story family home located in a residential-commercial neighborhood, with a living room, family room, dining room, kitchen, 3 bedrooms, 2 bathrooms, laundry/office area, and an indoor/outdoor activity area—a shaded area with outdoor patio furniture, a table, and seating chairs. Bedrooms #1-3 are designated as the client's bedrooms.

Due to time constraints, LPA was unable to complete the visit and will return at a later date to complete the visit.

There were no deficiencies cited. An exit interview was conducted.