Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an annual required licensing inspection. This annual inspection was focused on infection control due to the COVID-19 pandemic. LPA gained access to the facility and met with Program Administrator, Susana Levack. LPA discussed the purpose of the visit. This day program serves one hundred eighty-six (186) adults ages 18 and above; fifty (50) of whom may be non-ambulatory in room.

During today's visit, LPA toured the facility with Program Administrator, Levack, and verified compliance with infection control practices. LPA and Program Administrator, Levack reviewed the facility’s COVID-19 Mitigation and Infection Control Plan. LPA observed one central entry point; routine symptom screening initiated at entry for staff, clients and visitors; a sign-in policy enacted for all visitors; signs throughout the facility to promote hand hygiene, cough/sneeze etiquette; face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; and an adequate supply of PPE and disinfectants.

Based on today's visit, no deficiencies were observed in the areas evaluated above. An exit interview was conducted with Program Administrator, Levack and a copy of this report along with the Licensee/Appeal Rights (LIC 9058) was provided at the facility.