Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an infection control visit. LPA met with Administrator Dr. Eric Brothman. The facility is currently still not operating and providing online services to clients. The Administrator informed LPA that, they are planning to start operation approximately in June and structuring how to gradually accept clients back into the day program. The plan is for clients that are not going to attend in person services, connect online with the clients that are at the day program, via on camera and Zoom. Since the facility is not operating, there was no entry COVID procedures in place. Administrator stated, that once the facility begins to operate, visitors, clients, and staff will entered through the front iron gate, which will be locked from the outside, and a motion sensor detects when someone is there, and an alarm within inside the facility will alert staff that someone is at the front gate. At that time, a cleaning station table, with PPE, hand sanitizer, and temperature will be taken and documented using an app. Individuals not associated with the facility, will not be checked. Staff will have to wear full mask covering all day and would be optional for clients. The day program also continues to provide alternate services using Zoom classes. There are average of (30) clients who receive daily alternate program activities. All staff, including interns and volunteers are vaccinated and will receive the booster before operation begins. Administrator reported that he is does not have the accurate number of how many clients are vaccinated; due to family and facilities not wanting to provide the information.

LPA toured the physical plant and conducted a mitigation plan review with the Administrator to ensure the facility has implemented COVID precautionary safety measures. LPA informed the Administrator to begin posting more COVID procedures throughout the facility; especially hand-washing signs in the bathroom. The facility has a fire clearance for (40) clients of which (7) can be non-ambulatory. The day program is located within a church building. The rooms