Facility Evaluation Report

At approximately 9:20 AM, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection using the Infection Control Domain. LPA met with Administrator and disclosed the reason for the visit.

Entry: Upon entry, LPA observed a ramp in good repair and a sign on the front door indicating cleaning practices, mask requirements, and social distancing.

Screening: LPA observed a screening station with 2 boxes of gloves, N95 masks, hand sanitizer, and a thermometer. Administrator screened LPA upon entry. LPA advised Administrator to use a visitor log to document temperature, symptom check, and contact tracing information.

Common Area: LPA observed socially distant accommodations in the living room and dining area. Administrator noted residents remain socially distant during meals, and meal times are staggered.

Kitchen: LPA observed a locked cabinet below the kitchen with 3 bottles of liquid soap for resident use. LPA suggested a handwashing sign by the kitchen sink.

Bedrooms: The facility has 4 bedrooms, of which 1 is shared and 3 are private. The shared bedroom and two private bedrooms are occupied, and one private bedroom is vacant.

Bathrooms: The facility has 2 bathrooms. Both bathrooms were clean and contained signs for handwashing instructions. Soap and paper towels are provided for resident use and are stored in a supply cabinet. The bathrooms with the shower contained non-skid mats and grab bars by the toilet and shower.

Laundry: LPA observed a laundry are with washer and dryer. Administrator noted the ability to sanitize the machines with bleach after each load.