Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 07/26/2022 at 12:30 PM unannounced in order to complete the facility's Annual Inspection. LPA Brown met with Staff Lead Myeisha King and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Staff King reported that they have eight (8) clients at the facility. Supervising Program Director Blythe Mcclanahan was contacted and arrived during the visit. Below is a summary of what was observed:

Infection Control: LPA Brown went over COVID-19 best practices for infection control and prevention with Staff Lead King and Supervising Program Director Blythe Mcclanahan . Per documents review, Mitigation Plan was submitted 08/11/2021. Also, Supervising Program Director Mcclanahan submitted the facility’s Infection Control Plan during the visit .

LPA Brown observed the facility with limited Covid-19 signages throughout the facility for proper hand washing procedure and social distancing. Signs have been posted at facility entrance with updates to visitor policy to notify of policies and procedures necessary to protect clients from infection during pandemic. LPA Brown toured the facility, and all rooms and bathrooms have hand soap and paper towels. LPA Brown requested to inspect the facility's Personal Protective Equipment (PPE) supply and the facility has sufficient supply of surgical masks, gloves, isolation gown, hand sanitizers, wipes but no N95 respirator masks available at the facility. LPA Brown will be issuing a Technical Advisory Notes during today’s visit for not having sufficient number of N95 masks at the facility. LPA Brown went over the various recommended training for facility staff with Staff Lead King and Supervising Program Director Blythe Mcclanahan in relation to COVID-19 and they both reported to LPA Brown that all staff are trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing of PPE.