Facility Evaluation Report

Licensing Program Analyst (LPA) Ryan Gardner made 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 met with Licensee Ronald Whitaker who confirmed that there are currently no cases/exposures of COVID-19 within the facility. At the time of visit there were two (2) staff, and one (1) resident present. Two (2) residents were away at day program. Upon observation and interview, LPA Gardner discovered that Priscilla Whitaker was living at the facility without background clearance. Ms. Whitaker has been living at the facility for seven (7) days. LPA Gardner will be issuing a citation to the facility for allowing Ms. Whitaker to live at the facility without background clearance. LPA Gardner observed Mr. Whitaker walk Ms. Whitaker out of the facility.

LPA Gardner went over COVID-19 best practices for infection control and prevention with Mr. Whitaker. Residents have hand sanitizer available to them and the bathrooms were stocked with hand soap and paper towels. LPA Gardner observed the facility to have multiple postings throughout the facility for cough etiquette, proper hand washing procedure, social distancing, and emergency contact information for residents has been updated. LPA Gardner requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was in the hall closet. Mr. Whitaker has a full 30-day supply of PPE items such as gloves, face shields, gowns, surgical masks, N95 masks, disinfectant, and hand sanitizer supply. LPA Gardner discussed creating a cart, or similar, to have a supply of PPE ready that would be dedicated for isolation room, along with a trash can to put inside and outside of an isolation room. All residents and staff are practicing all other COVID-19 precautions, which minimize the risk of them contracting COVID-19.