Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to the facility to initiate the annual inspection, LPA met with Administrator Sulaiman Durrani.

LPA observed that the facility has a mitigation plan to mitigate the spread of COVID-19 in the facility. One central entry point and sign-in policy has been designated for universal entry screening. Routine symptom screening has been initiated at entry for all staff, clients, and visitors. Facility also documents daily temperature and COVID-19 symptom checks, and any change in condition for staff and clients.

LPA toured the facility inside and out and there were no health and safety concerns. The facility has charged fire extinguishers, operating smoke alarms, and carbon monoxide detectors. The outdoor and indoor hallways were also free of obstruction. Cleaning supplies are locked in a cabinet in the garage.

The facility had a complete first aid kit and emergency supplies for LPA observed a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. The facility menu was available for review.

The client room had the required furniture and sufficient lighting. The bathrooms can accommodate the needs for bathing and showers which have non-slip flooring. The facility had a supply of additional linen and extra hygiene items for the clients. LPA measured the hot water temperature in the main bathroom in the hallway that measured at 105.8 degrees F.

LPA observed hand sanitizer throughout the facility and a 30- day supply of PPE. The client have at least a 30-day supply of medications. LPA observed that all emergency contact information for the client is up to date.

An exit interview was conducted where this report was discussed, and a copy of this report was provided to Sulaiman Durrani- Administrator at the conclusion of the inspection.