Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Hamilton visited the facility to conduct an annual required licensing inspection which focused on infection control. LPA introduced herself and was granted entry into the facility by Administrator, Rudyard Abille. LPA disclosed the purpose of the visit.

During today's visit, LPA toured the facility and verified compliance with infection control practices. LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, clients, and visitors; a sign-in policy enacted for visitors; signs in the facility to promote hand hygiene, cough/sneeze etiquette, symptom and transmission awareness; face coverings worn by staff; hand sanitizer/hand washing stations readily available; available visitation area; and an ample supply of cleaning products and PPE.

LPA observed a table saw that contained a sharp blade accessible to clients in care. Deficiency was observed during today’s visit and is cited on the attached LIC 809D.

An exit interview was conducted with Rudyard Abille, and a copy of this report and Licensee Rights (LIC 9058 FAS 01/16) was provided at the facility.