Facility Evaluation Report

On today's date, Licensing Program Analyst (LPA) LPA Rosie Quiroz conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA Quiroz was greeted and granted entry into the facility by Caregiver Enrico Novero. LPA explained the nature of the visit. Licensee/Administrator (L/AD) Kerry Joiner and Licensee(L) Terri Joiner arrived shortly after. Facility indicated screening all incoming visitors prior to entering the facility. Facility is licensed to provide services to Age range 60 and over, 6 Non-Ambulatory residents, and has a Hospice Waiver for 4 residents. Facility currently providing services to 1 resident on hospice. (L/AD) Kerry Joiner has an Administrator certificate with expiration date of June 28, 2022. (L/AD) Kerry Joiner indicated already completing Administrator renewal process and awaiting new certificate. L/AD Kerry Joiner agreed to submit new administrator certificate to CCL upon receiving it.

On or about 1:22pm, LPA Rosie Quiroz along with (L/AD) Kerry Joiner began the tour of the inside and outside of the facility. There are six (6) residents in care and there are no active COVID-19 cases in the facility. LPA Quiroz observed three of six residents in their bedroom resting, and three of six residents observed to be in living room area watching television supervised by caregivers. LPA Quiroz interacted and interviewed with residents during today's visit. Six of six residents appeared to be clean and well taken care of. LPA Quiroz observed a COVID-19 check in station in the entry of the facility; LPA Quiroz observed required department COVID-19 precautionary postings in the facility as well as hand washing signs throughout the facility. Facility temperature recorded to be 77 degrees Fahrenheit.

All restrooms observed to have a supply of soap, appeared to be clean and water temperatures were recorded to be within 112.2-115.6 degrees Fahrenheit. LPA Quiroz inspected resident’s bedrooms and appeared to be clean. All bedrooms observed to have all required components. LPA Quiroz observed the emergency and disaster and evacuation plan. Facility has a supply of emergency food, water and PPE in garage area and kitchen area readily available for staff and residents. LPA Quiroz toured the outside of the facility and observed seating and shaded area for residents and visitor's enjoyment in backyard area. CONTINUED ON NEXT PAGE...