Facility Evaluation Report

Licensing Program Analysts (LPAs) Shira Stamps and Angela Panushkina, met with Administrator Byranisha Goodwin for a One (1) year Required visit for this facility.

Infection control: LPA Stamps reviewed facility mitigation plan (approved on 03/30/21) to make sure licensee was following current infection control recommendations. LPAs informed the Administrator that all visitors should be screened by the staff and asked all infection control questions, check the temperatures, and have all visitors sign-in and sanitize/wash hands. Screening area will be upon entry.

LPA arrived at 1:56pm and was greeted by the Administrator. At this time, the Administrator has no residents in care. LPAs informed the Administrator of the purpose of the visit. A tour of the physical plant was conducted with the Administrator at 2:00pm. The facility has three (3) bedrooms and two (2) bathrooms. One (1) bathroom and one (1) bedroom is designated for staff use only.

Common Areas: LPAs observed proper furniture in the living room area. LPAs observed the gate around the fireplace to be broken. Administrator stated she will fix the gate and e-mail the photo or receipt.

Kitchen : At 2:00pm LPAs observed the kitchen area. LPAs informed the Administrator that all dishwashing liquid or hazardous materials should be in a locked cabinet. LPAs observed knives and sharp objects locked in the hallway closet. LPAs observed future medications will be locked in the hallway closet as well.