Facility Evaluation Report

On 9-26-22 at 1:45 pm, Licensing Program Analyst ( LPA) Michael Bilger arrived at this facility unannounced to conduct a quarterly health and safety check visit. LPA was greeted by Assistant Administrator Carrie Mumphrey, and LPA explained the purpose of the visit. Licensee William Puckett was notified of LPA's visit and purpose.

LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 5-bed adult residential facility with a current census of 4. LPA was screened upon entry for temperature and asked to sign in. COVID screening questions were asked prior to entry. Facility has 4 bedrooms and 3 bathrooms. There is a formal living room and family/TV room for residents. All knives, toxins, and other chemicals were inaccessible to residents in care. Resident rights posted. No obstructions to emergency exits noted.

The facility has submitted a COVID mitigation plan. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors as required. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and back yard. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. LPA observed all staff to be wearing masks during visit. Front door was accessible to exit from inside with no additional locks installed. LPA observed facility to be clean and sanitary with no foul odors or disrepair items noted. Bannister and carpet have been repaired. There were 2 staff on duty during LPA's visit today. LPA reviewed 4 client records. All contents in place. Current behavior plans were observed in all records.