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 staff Jovinah Bulezi, who allowed LPA to enter. There have not been any active or past COVID cases at the facility, and (2) staff and (2) clients have been vaccinated. The current census is (2); one client was out in the community for the weekend. LPA’s temperature was immediately taken and documented; a list of COVID-19 questions was asked; and LPA signed in the visitor book. LPA observed staff to have full mask covering; a hand sanitizing station; PPE supplies in drawer; and COVID-19, CDC, Department of Public Health, and Licensing postings on the walls throughout the facility. The Administrator Narek Davtyan arrived shortly after, and LPA discussed the mitigation plan that was submitted and approved.

The infection control inspection began with the staff Jovinah and concluded with Administrator Narek. The facility has (3) bedrooms; with (1) shared room and beds were kept (6) feet apart. All bedrooms were properly furnished. The common areas were observed to be clean, including bathrooms, with soap and towels. LPA conducted a mitigation plan review with the Administrator, to obtain information on how the facility has implemented the plan. The Administrator reported to LPA, that (2) clients have been vaccinated and recently obtained the booster shot. Only (2) staff are vaccinated; the others conduct weekly testing and the facility keeps documentation of the test results and other pertinent information pertaining to COVID-19. All new employee hires and new resident admits, must be properly screened, and provide (2) negative COVID test, prior to entering the facility. Administration continues to conduct training to staff in relation to COVID-19. Administrator reported the facility receives departmental emails. There is currently no paid sick leave policy in place; but Administrators have had discussions regarding it, and will address when needed.