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 Frances, who allowed LPA to enter. There have not been any active or past COVID cases at the facility, and (23) staff and (4) clients have been vaccinated. The current census is (4). LPA’s temperature was taken electronically checked. A hand sanitizing station, PPE supplies were located at the front door. COVID-19, CDC, Department of Public Health, and Licensing postings on the walls throughout the facility.

The infection control inspection began with the staff Frances and concluded with Administrator Jonah. The facility has (6) bedrooms; with (2) shared rooms for clients; and (4) rooms for staff. 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 all (4) clients have been vaccinated and received boosters. All (3) staff are vaccinated; and the continue to conduct weekly COVID testing. 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, and vaccinated. Administration continues to conduct training to staff in relation to COVID-19. Administrator reported the facility receives departmental emails.

There are designated rooms for potential positive COVID clients. PPE, chemicals, cleaning supplies, emergency food and water, personal hygiene supplies, and paper products are stored in a locked closet. LPA observed a sufficient supply of all items during the visit.