Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia attempted to conduct an unannounced visit for an annual inspection. Upon arrival LPA called Administrator David Larson, identified herself, and inquired about the COVID status of the facility to ensure the use of proper PPE. Administrator Larson informed LPA, all clients and staff, including himself, were on a day outing to Pine Valley.

LPA Correia briefly discussed the new the guidelines regarding staff, client, and visitation vaccination and/or testing requirements. The facility's Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) has been reviewed and approved. Administrator Larson will update the Mitigation Plan with the most current requirements for submission and approval. This annual inspection requires an additional continuation.

LPA Correia conducted an exit interview via telephone with Administrator Larson. Administrator Larson was provided email with an electronic copy of the Licensing Report (LIC809), and an email read response receipt confirms receipt of the report.