Facility Evaluation Report

At 10:25 am Licensing Program Analysts (LPAs) Angela Panushkina and Shira Stamps conducted an unannounced annual inspection at the facility mentioned above. LPAs were greeted by staff who granted access to the facility. LPAs met with Administrator, Tamara Berry. A physical tour was conducted at 10:45 am and observed the following:

Infection control: LPA reviewed the facility mitigation plan (approved on 4/20/21) to make sure licensee was following current infection control recommendations. Upon arrival, staff took LPAs temperatures and was asked to sign-in the visitors’ log and were asked all infection control questions. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. Team observed some trash can throughout the facility to not have fitted lids. Team requested that lids be placed on all trash cans to protect from cross from contamination.

Food Inspection: At 11:24am Team observed there to be sufficient supply of two day perishable foods and one week of non-perishable food supply. Food storage and preparation areas are clean and inaccessible to pests. LPAs observed the emergency food supply with a shelf life of 10 years. Team also observed sharp objects being locked and inaccessible to residents in care.

Smoke detectors/carbon monoxide are hard wire and tested yearly by the local Fire Department. LPA requested a copy of the report at 11:00am.

Resident room s: All residents bedrooms were properly furnished, had sufficient lighting and appeared to be clean and had appropriate bedding. Rooms were kept in a comfortable temperature between 64°F and 72°F.