Facility Evaluation Report

LPA Lusby arrived on Monday November 1, 2021 to conduct the annual inspection. Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask.

LPA and Administrator completed the infection control domain together and facility was found to be in substantial compliance at this time. LPA to drop off additional PPE at the facility next week.

LPA and Administrator toured facility together to ensure health and safety of residents in care. In the areas toured no immediate health, safety, or personal rights violations were observed.

No deficiencies are being cited as a result of todays inspection. Exit interview conducted. Due to computer issues, LPA was unable to have Administrator sign 809. LPA to email finalized 809 to Administrator. A hard copy will be kept in the facility file.