Facility Evaluation Report

At 10:45 am, on 2/17/2022, Licensing Program Analyst (LPA) Darlene Chavez conducted an unannounced annual infection control inspection of the facility above. LPA met with Joni Chapman, Administrator, and explained the reason for the visit. LPA and administrator toured the facility.

LPAs’ initial tour of the facility resulted in the following observations: LPA was screened upon entry to the facility by staff. LPA observed the fire extinguisher in the hall near administrator’s office was last inspected in November 2020 and the fire extinguisher on the kitchen counter did not have an inspection date. Administrator will get the fire extinguishers up to code and send photos to LPA. LPA did not observe Provider Information Notices (PINs) nor PIN summaries posted in the facility. Administrator will print PINs and/or PIN Summaries and place in a binder and place in a common area or post on a wall/board in a common area .

At 11:15 am, LPA Chavez conducted the Infection Control mitigation module with the administrator. No deficiencies noted.

Exit interview conducted and the report emailed to the administrator.