Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 07/27/2022 at 09:30 AM unannounced in order to complete the facility's Annual Inspection. LPA Brown met with Staff Tony Jones and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Staff Jones reported that they have four (4) clients at the facility. Administrator Danielle Howard 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 Administrator Howard. Per documents review, Mitigation Plan was submitted 01/21/2021. Also, Administrator Howard reported that the facility’s Infection Control Plan was submitted 06/30/2022.

LPA Brown observed the facility with 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. However, LPA Brown observed common towel in the clients’ bathroom. LPA Brown will be issuing Technical Advisory Note for this issue. 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 and N95 respirator masks available at the facility. LPA Brown went over the various recommended training for facility staff with Administrator Howard in relation to COVID-19 and Administrator Howard 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.