Facility Evaluation Report

On 9/08/22 at 10:35 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility listed above. LPA met with Julie Hawke, Licensee, and Nancy Hobson, Administrator, and explained the purpose of the visit. Licensee stated that all clients were away at day program.

LPA toured the facility with the administrator and observed the following: The facility has soap and paper towels for residents’ bathrooms, however, paper towels are dispensed to residents upon each use due to the fact that Client #1 (C1) lacks hazard awareness and flushes paper down the toilet. The fire extinguisher is located in the laundry room. The extinguisher is fully charged and was inspected on 11/30/21. The facility has infection control signage at the front door and signage throughout the facility on handwashing, cough etiquette and use of masks. Upon entry to the facility, LPA was screened, however, the licensee did not have a visitor sign-in sheet readily accessible. Licensee states that she has to store the sign-in sheet as C1 removes the sheet. Licensee will send a copy of the visitor sign-in sheet to LPA by end of day 9/8/22. Staff were wearing masks.

At 11:05 am LPA conducted the Infection Control mitigation module with the administrator.

Exit interview conducted and the report emailed to the Licensee and Administrator.