Facility Evaluation Report

On 1/26/2023 at 11:41 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced annual infection control inspection of the facility above. LPA met with Joni Chapman, Administrator, and explained the purpose for the visit.

LPA toured the facility with the administrator and observed the following: LPA was screened upon entry to the facility. Staff are wearing masks. The facility has infection control signage. LPA observed fire extinguishers (2) in the hall near administrator’s office and the kitchen. The extinguishers are fully charged and were inspected on 11/22/22. Each resident bathroom (3) has soap dispensers. Administrator states paper towels are provided to clients when using the restroom as clients otherwise have, in the past, thrown the towels in the toilet. At 12:03 pm, LPA observed the temperature in the kitchen freezer at 12F degrees and the temperature in the laundry room freezer at 5F degrees. Regulation is that freezer temperatures shall be at zero degrees Fahrenheit. Deficiency cited. At 12:25 pm, LPA observed a torn area of the screen door at the backyard sliding glass door. The tear is approximately four inches by twelve inches. Licensee will repair the screen, take a photo, and send to LPA by 2/2/23.

At 12:45 pm, LPA conducted the Infection Control mitigation module with the administrator.

Exit interview conducted, deficiency cited and the report and appeal rights emailed to the executive director and the administrator.