Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Chitgian made an unannounced visit to conduct an annual inspection focused on infection control. LPA met with staff Tia Johnson and explained the purpose of the visit. At the time of the visit, there were two(2) staff and 4(four) clients present.

LPA toured the facility and made observations regarding the infection control measures that the facility has implemented. The entrance of the facility has a check in process for visitors that includes a temperature check and a symptom check. LPA observed proper signs posted throughout the facility, sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and proper use of face coverings. The facility has an adequate amount of hand hygiene supplies (soap, hand sanitizer and paper towels). LPA observed a limited supply of Personal Protective Equipment (PPE) which included gloves, disinfectant, and hand sanitizer Two(2) boxes of N95 masks were available. PPE was stored in the closet. No gowns or surgical face masks were available. The facility was informed to obtain a 30-day supply of PPE.

The facility has a plan in place which follows Community Care Licensing Division guidelines for testing, isolating and caring for clients with COVID-19 positive and/or exposures. There is a designated infection control lead person tasked with tracking all positive cases, cleaning and disinfection provisions are in effect. The facility staff monitors clients regularly for any changes in condition and daily symptom checks. The staff will contact the client's physician in the event of any COVID-19 related illnesses. The staff are responsible for cleaning and disinfecting the highly touched surface areas during their shift. All staff and clients are practicing all other infection control precautions, which minimize the risk of them contracting COVID-19.

LPA completed a walk-through of the facilities interior and exterior. Based on the observations made during today’s visit, one(1) technical advisory (LIC 9102) was given for the limited PPE supply available.

An exit interview was conducted, and a copy of this report (LIC809) was provided to staff Tia Johnson.