Facility Evaluation Report

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 5/3/22 to conduct a Annual Inspection utilizing the infection control domain guidance. LPA met with the Director and explained the purpose of the visit. Prior to initiating the inspection, 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 and completed a facility risk assessment upon arrival. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by caregiver upon entering the facility.

LPA toured the interior of the facility together with Michelle to ensure health and safety of residents in care. . In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Director covered the infection control topics and facility was found to be in substantial compliance at this time.

LPA will forward links to additional information.

LPA requested Administrator submit: client roster and staff roster to CCL by 7/1/22.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report