Facility Evaluation Report

On 12/20/2022 at 2:10 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct a Required Annual/Infection Control inspection. LPA was greeted by Leslie Clarkson who was wearing a mask and granted access. LPA explained the reason for the visit. According to Leslie he is a back-up Administrator and is authorized to sign this report. LPA reviewed the Mitigation Plan approved 02/06/2021. The inspection tool was used to complete the visit.

At 2:11 p.m. LPA began a physical plant tour of the facility and the following was observed:

Infection control: Leslie took LPAs temperature and asked LPA to sign in. LPA observed appropriate infection control signs posted at entry and in the hallway by the bedrooms. LPA observed hand washing signs in the bathrooms and trash bins with lids. Leslie states the facility has enough PPE for 30 days.

Kitchen: LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. Knives are kept locked in a closet by the kitchen inaccessible to clients. LPA observed a 2-day perishable and a 7-day non-perishable supply of food.

Dining / Living Areas: The dining and living areas were well lit, clean and clear of clutter. Furniture appeared clean and in good repair. LPA observed the thermostat at a comfortable temperature of 72°F.

The fire extinguishers were observed by the entrance and by the kitchen fully charged and last serviced on 08/22/2022.

Smoke/Carbon Monoxide detectors: Smoke detectors are interconnected and were tested at 2:16 p.m. LPA observed them to be functioning properly. There are two carbon monoxide detectors one downstairs and one in the hallway upstairs by the bedrooms. They were also tested and appeared to be functioning properly.