Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an unannounced infection control inspection/visit. Upon entry, LPA was greeted by Administrator Richard Denogean, who allowed LPA to enter. LPA’s temperature was not taken upon entry, and there was no observation of a cleaning station, or sign-in/visitor record book available at the time of the visit. There have not been any active or past COVID cases at the facility, and (6) staff and (4) clients have been vaccinated. Currently, (3) staff have received the booster and (3) are waiting to be scheduled. Clients are scheduled for booster shot on December 03, 2021. The current census is (4). LPA observed staff to have full mask covering. The facility had minimal COVID-19 postings throughout the facility. LPA observed signs at the front door. LPA requested to the Administrator that more signs need to be visible throughout the facility and hand washing signs in all bathrooms, including the kitchen.

The infection control inspection began with the Administrator Richard. The facility's mitigation plan was submitted, but not fully reviewed or approved. LPA reviewed the mitigation plan, and requested more information to be included. The Administrator will resubmit. Information already provided will be accepted and approved during the visit. The facility is a single story home, that is divided, with an additional separate living quarter used for clients. LPA observed the property, and there are (2) shared rooms, and a private bathroom. The common areas were observed to be clean, including bathrooms, with soap and towels; but no hand washing signs. LPA conducted a mitigation plan review with the Administrator, to obtain further information that was missing in the initial report submitted. The facility has ceased COVID testing for clients and staff, since everyone is vaccinated and will be receiving the booster vaccine. But the facility has in-house testing kits available, if needed to test staff or clients. All new employee hires are required to be vaccinated before employment. Administration continues to conduct training to staff in relation to COVID-19. Administrator reported the facility receives departmental emails. There is paid sick leave policy in place.