Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness arrived to the facility to attempt to conduct the annual infection control visit. Upon arrival, LPA knocked on the door and spoke to the staff Eric, who informed LPA the facility is currently under a COVID outbreak with (5) positive asymotomatic clients (1) client that is exposed and (1) positive staff. Staff Eric, contacted Licensee Niecola Roberts, who LPA had a conversation with via cellphone. The Licensee arrived to the facility and provided additional information regarding the mitigation plan. Licensee informed LPA that she submitted the report. LPA requested for Licensee to submit the new inspection plan that is due by June 30, 2022, according to departmental requirements.

Currently all (6) residents and (7) staff are vaccinated and have booster shots. Facility conducts daily temperature checks for staff and residents. Currently the visiting policy is out doors, and temperature checks are conducted daily for visitors. Daily and disinfecting is done daily. PPE supply is sufficient and the facility has plenty of supplies. Licensee requested more COVID test kits. LPA will check regarding if there are more available.

The facility has (5) bedrooms, and (2) shared, and (3) private. Currently all clients are isolating in there rooms, and there is (1) designated staff that is handling the outbreak.

COVID testing is conducted weekly. Licensee will follow up with LPA regarding the status of clients and staff.

Exit interview conducted with the Licensee