Facility Evaluation Report

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 04/22/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with staff, Melody Bulanadi and explained the purpose of the visit. Prior to initiating the annual 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 contacted administrator and completed a facility risk assessment. 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 staff upon entry.

Administrator was contacted upon LPA's arrival but was unable to come to the facility for the inspection, administrator gave verbal permission for visit to be completed with staff.

LPA and staff toured facility together to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas, brief inspection of four clients rooms, two bathrooms, kitchen, medication closet, laundry area, garage, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed.

LPA and staff completed the infection control domain together and facility was found to be in substantial compliance at this time.

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

Exit interview conducted and copy of report left at the facility.