Facility Evaluation Report

Licensing Program Analyst (LPA) arrived at the facility unannounced on 02/10/2023 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Executive Director, Ricky David, and explained the purpose of the visit. LPA ensured to apply hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Masks. LPA were screened by facility staff prior to entering the facility.

LPAs toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to: first and second floor of Assisted Living Unit, four (4) residents bedroom, five (5) bathrooms, dining room, kitchen, and stairwells. Stairwells have evacuation chairs. In the areas toured no immediate health, safety, or personal rights violations were observed. LPAs and Executive Director completed the infection control domain and facility was found to be in substantial compliance at this time. LPA provided ED summary of PIN 23-02-ASC -UPDATED GUIDANCE ON TESTING, ISOLATION AND QUARANTINE.

No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.