Facility Evaluation Report

Licensing Program Analyst, Amber Coleman (LPA) made an unannounced visit to the Ami-Mariana House Facility to conduct an Annual Inspection with a focus on infection control. LPA introduced self and stated purpose of the visit. LPA was greeted and granted entry by staff member, Michael Sangkay (S1) Staff member introduced himself as a caregiver. LPA was also introduced to staff member 2, Marli Sangkay, Caregiver (S2). LPA signed in and had temperature taken. COVID station was observed near the front entry way of the facility. The station included hand sanitizer, PPE and signs for infection control. LPA was provided a place to work and given a tour of the facility inside and out. The facility was observed to be spacious and free of obstruction.

During inspection, LPA observed signage pertaining to infection control, house rules and licensing regulations. Staff were also observed wearing appropriate PPE throughout the visit. All bathrooms offered hand soap and paper products. Resident's rooms were found orderly and adequately furnished. Fire and Carbon Monoxide Alarms tested during walk through were found operational. Fire Extinguishers were last inspected 3/9/22. S2 reports that the current census is 3 and there are no concerns for the residents at this time. Residents arrived back to the facility during visit. There are 3 staff members on duty who also reside on facility grounds. Medications are kept secure in file cabinets in the facility's living room. Chemicals are kept under the kitchen sink in a secure cabinet. Sharp objects are also kept in the kitchen in a secure drawer. 3 resident charts reviewed. LPA observed resident charts to be complete with sufficient information.