Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps arrived at the facility for an unannounced one (1) year Required visit. LPA arrived at 1:35 pm. LPA was greeted by caregiver Chanel, and the Administrator and the house manager were contacted. The house manager arrived at 1:50 pm. LPA informed the house manager of the purpose of the visit. Clients were observed doing karaoke in the living room.

A tour of the physical plant was conducted with the house manager, Rashalya at 1:50 pm. The Administrator arrived later at 2:05pm. The facility has five (5) bedrooms and two (2) bathrooms currently occupying four (4) clients. One (1) bedroom and one (1) bathroom is designated for staff use only. The facility is Fire Cleared for four (4) ambulatory.

Infection control: No mitigation plan was found on file for this facility. The Licensee has approved mitigation plans for their other three facilities. The Administrator stated she will send LPA the mitigation plan. LPA observed that the facility was following current infection control recommendations. Upon arrival LPA was screened by the caregiver and asked all infection control questions. LPA was asked to sign-in and sanitize hands.

LPA conducted a tour of the kitchen around 1:54 pm and 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 knives and sharp object being locked and inaccessible to clients in care. The medication cabinet was also observed to be locked.

At 1:55 pm, LPA observed chemicals/hazardous items in a locked cabinet in the laundry room.