Facility Evaluation Report

Licensing Program Analyst (LPA) Stephanie Williams conducted an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA Williams arrived and met with Administrator, Kerry Davidson. Davidson confirmed that there are currently no cases/exposures of COVID-19 within the facility. LPA Williams was not asked to sign-in nor did LPA observe a sign-in sheet. LPA Williams was also not screened for COVID-19 symptoms upon arrival. The Administrator was advised that a sign-in sheet and symptom screening of visitors is necessary for COVID-19 tracking and facility health safety.

During the inspection, LPA Williams conducted a brief tour of the facility and made observations pertaining to the facility's infection control measures and other health and safety concerns. LPA Williams observed appropriate postings throughout the facility, including hand-washing etiquette, face coverings, and COVID-19 symptoms postings. The facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). LPA Williams observed that the facility staff were wearing 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, and that staff are trained in the facility's infection control measures. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating/quarantining residents, and properly caring for residents with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms.

LPA Williams observed no apparent health and safety concerns at the time of visit. A technical advisory was issued for no implementation of a facility sign-in policy or screening. An exit interview was conducted where this report was discussed and a copy of this report was provided to Davidson at the conclusion of the