Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Willie Jordan for an unannounced one (1) year Required visit for this facility.

LPA arrived at 11:15am and was greeted by a caregiver. The caregiver was not wearing a mask. One (1) client was observed in the kitchen. The rest of the clients were attending their day programs. The Administrator arrived about 11:35am. LPA informed the Administrator of the purpose of the visit.

Infection control: LPA reviewed the facility mitigation plan (approved on 02/22/21) to make sure the licensee was following current infection control recommendations. Upon arrival LPA was screened by the caregiver and asked all infection control questions. LPA signed-in and sanitizer was available.

A tour of the physical plant was conducted with Administrator at 11:40am. The facility has four (4) bedrooms and three (3) bathrooms currently occupying six (6) clients. One (1) bedroom is designated for a game room. The facility is Fire Cleared for six (6) ambulatory.

LPA conducted tour at the kitchen around 11:40am observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPA observed all medications, client files, and knives and sharp object being locked and inaccessible to clients in care.

LPA observed the garage to be attached to the facility and currently being used for storage and an extra refrigerator. CONTINUED...