Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with Kevin MacDonald 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 1:45pm 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 are posted outside. Hand washing, coughing etiquette, physical distancing and other necessary signs are posted in the bathroom and throughout the facility. The facility has enough PPE supplies. The facility is fire cleared for eight (08) non-ambulatory and twenty-seven (27) ambulatory clients. The facility does not have a swimming pool/body of water. Cleaning agents and other toxins are locked away. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to clients. Common area furniture was also checked. The common area is neat and clean. The facility maintains a comfortable temperature at 70°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguishers are located near the kitchen area, observed to be full and last inspected on 10/24/2021. The facility has enough hygiene products available to the clients. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 117.2°F. Towels are not shared. LPA observed first aid kit to be locked and inaccessible to clients.

Exit interview conducted. Copy of this report issued.