Facility Evaluation Report

On 8/24/22, Licensing Program Analyst(LPA) Murial Han and Co-Worker Kevin Gaines conducted an unannounced annual inspection. LPA observed COVID-19 signs posted through-out the facility. LPA met with the administrator, Leonora and explained the purpose of the inspection.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures- LPA and co-worker's temperatures were taken at the entry, however, it was not observed to be documented. The administrator stated that the daily COVID-19 screening for residents, staff and visitors are completed, however, was not able to provide any documentation. Containment strategies (the facility has dedicated a private room for isolation and quarantine). There are 6 residents at the facility (2 female and 4 male residents). There are 4 residents in the living room. The facility has 3 semi-private rooms and the beds were observed to be 6" apart. PPE supply and the environmental cleaning supply are adequate and stored in different locations; LPA recommended to store in a common area for easy access. Trash cans in the kitchen are observed to be foot operated.

Medications, and toxins stored appropriately and inaccessible to resident, a comfortable temperature is maintained, and lighting is sufficient for comfort. First-aid kit is inspected and complete.