Facility Evaluation Report

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to conduct an annual inspection with an emphasis on infection control.

LPA met with Caretaker Isabel Carter. Present in the facility during time of visit were 3 clients, with 1 being at their day program. There are currently no cases of COVID-19 within the facility. Administrator Shawniqua Davis later arrived to the facility.

During today's visit, LPA toured the facility and made observations pertaining to the facility's infection control measures. LPA observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions as well as proper use of face coverings.

The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities. LPA later discussed infection control practices and procedures with Ms. Davis.

Type B deficiencies was noted at the time of visit as follows:

Prescription medication was not stored in its original prescribed container.

An exit interview was conducted, and a copy of this report along with a copy of the LIC809-D, was discussed with and provided to Ms. Davis.