Facility Evaluation Report

Licensing Program Analyst (LPA) Perry Scott conducted a site visit for the 1-year annual inspection, with a primary focus on Infection Control measures using the new CARE Inspection Tool. On today’s visit LPA met with facility representative, Greta Goree, and the purpose of the visit was explained. Upon entry, my temperature was taken, and I was presented with a visitor’s log to sign in. All staff were complying by wearing face coverings. The facilities annual fees are currently outstanding with a balance of $454.00 that was due on 12/15/2021.

As part of the inspection, my primary focus was on infection control. LPA observed the facility’s infection control practices: LPA observed a sanitizing station at the facility entrance. PPE supplies are readily available to staff and clients; and additional supplies are stored. Sufficient paper, cleaning, and disinfecting supplies were observed. The facility has the mandated COVID infection control posters.

The facility is licensed to serve thirty-five (35) Developmentally Disabled Clients ages 18 and above; of which twenty (20) Clients may be non-ambulatory. The program currently has fifteen (15) non-ambulatory clients of which three (3) clients have restricted health conditions. Disaster/Fire Drill was conducted on: 08/18/2022 . LPA conducted a tour of the facility which includes: Lobby, living room, program offices, three (3) work rooms, one (1) men's bathroom, one (1) ladies’ bathroom, refreshing room, nurse's office, common area, conference room, isolation room, computer lab, kitchen, and pantry area. All rooms were complying within title 22 regulations.