Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 1:13pm to conducted a 1 year annual visit to the facility above. LPA met with Administrator Joni Chapman and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Infection Control: The facility has submitted a current Infection Control Plan to the department. The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff will be trained on infection control and the use of Personal Protective Equipment (PPE) initially upon hire and annual thereafter.

Physical Plant & Environmental Safety: The facility is a 5 bedroom and 3 bathroom currently occupying 3 residents and employs 11 staff, and 1 Administrator. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke alarms and a carbon monoxide detector. The lighting and lamps are sufficient for the use of the facility and for residents comfort. The showers have non-skid bottoms or mats present. Toilet, hand washing and bathing facilities are operational. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked in laundry room cupboards, and storage closet. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. Water temperatures were checked at bathroom sink and measured 115.1 F, within regulation requirements.