Facility Evaluation Report

At approximately 9:15AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required - 1 Year Visit Inspection and was greeted by Staff. Back-up Administrator, Kymberlee Franks, arrived later during visit at approximately 9:50AM. The inspection is focused on the Infection Control procedures and practices of this facility. Licensee, Christina Youmbi arrived during visit at approximately 11:20AM.

Upon arrival at the facility, LPA had their temperature checked and logged.

LPA conducted a walk-through of the facility and observed the following: COVID-19 signs were observed at the entry way and throughout the facility. Hand-washing signs were observed in the bathrooms and at sinks. All staff present were observed to be wearing a mask. The facility was found to be clean and at a comfortable temperature with all exits free from obstruction.

Facility has a cleaning and disinfecting schedule that occurs at least four times per day. Facility has at least a 30-day supply of Personal Protective Equipment (PPE) and medication for Clients. Staff and Clients are screened daily for COVID-19 symptoms.

LPA and Back-Up Administrator discussed the following: Activities, staffing, N95 fit testing, and training. Facility has a plan in place if a staffing shortage were to occur. Facility has submitted their Mitigation/Infection Control Plan to Community Care Licensing (CCL).

Fire extinguishers was last serviced October 2022. Smoke and carbon monoxide detectors were not tested to avoid potential behaviors. The last facility fire and evacuation drill was conducted August 2022.