Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with Janice Dole for a One (1) Year Required - Infection Control visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 2:00pm and the following was noted:

There is one entrance being utilized at the facility, there are required posters posted at the main door. Screening area is located immediately upon entrance. Sign-in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing masks upon entrance and during the visit. Signs to wear masks and other COVID 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has an outdoor shaded area for clients, located on the northeast side of the building. The facility has sufficient stock of PPE in an office room located near the front entrance. The facility has a total of four (04) restrooms of which two (02) are for staff. The facility does not have a swimming pool/body of water. Kitchenette area is clean and inaccessible to pests. The facility does not keep knives and sharps. Common/activity room furniture were checked and appear to be in good condition. The common/activity rooms are neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. The facility has fire sprinkler system. Fire extinguishers are located throughout the building, observed to be full and last inspected on 10/21/2022. Hallways/passageways are well lit. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 116.1°F. There is a complete first aid kit located in the office area.

Exit interview conducted. Copy of this report issued.