Facility Evaluation Report

Licensing Program Analyst (LPA) Fernandes-Goes conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with Administrator/Licensee Leslie Wilson. There are 3 residents with no resident under hospice at this time.

LPA arrived at the facility and had her temperature checked and logged into a log. During facility tour on 2/24/2022 with administrator; facility was found to be at a comfortable temperature. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 2/2022 at the time of the visit. Sample test of Smoke Detectors & Carbon monoxide detector were found to be operational during this visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored and locked under the kitchen sink and garage. Dangerous items were stored inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. All resident’s bedrooms have lighting & appropriate furnishings. Facility licensee understands that disaster drills must be conducted at least quarterly and records should be available for the Department to review.

Facility has submitted a mitigation program plan that has been approved. Posters have been placed throughout of the facility. Facility has hand sanitizer available; visitors and staff before coming into work and temperature is checked and logged in a visitor clip board.