Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with the Administrator Kelsie Carr 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 9:50 AM and the following was noted:

There is one entrance being utilized at the facility, there are required poster 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 mask upon entrance and during the visit. The facility has submitted an approved Mitigation plan. Signs to wear a mask 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 a designated outdoor visitors' area located in the backyard. The facility has sufficient stock of PPE in a storage cabinet near the front door and in the garage. The facility has five (05) bedrooms total of which three (03) are used for residents and two (02) bathroom of which one (01) is utilized by residents. The facility is fire cleared for zero (00) non-ambulatory, four (04) ambulatory and zero (00) bedridden residents. The facility is currently occupying three (03) ambulatory residents. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. The facility has a swimming pool located in the backyard which is gated and locked. The garage is currently being used as laundry/storage room. Laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the kitchen. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests.