Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an announced Pre-Licensing visit to the facility above. This is a change of ownership application for a current facility with residents in care. LPA met with Licensee/Administrator Cherlyn Cradduck and explained the purpose of todays visit.

The following was inspected and noted during the Pre-Licensing visit:

Infection Control: The facility has a current Infection Control Plan on file. The facility has a sign in and out binder for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. 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 when and if needed. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and waste baskets have tight fitting covers.

Operational Requirements: The facility has a current plan of operation, admission agreement and infection control plan submitted with the change of ownership application. The facility has current liability insurance expiring on 04/07/2024. The facility has applied for a capacity of 5 with 4 Non-Ambulatory of which 1 may be bedridden in bedroom #2. The fire clearance was granted for 5 with 4 non-ambulatory and 1 bedridden but does not specify which room the bedridden is granted for. LPA will contact the fire inspector to get the fire clearance updated to specify which is the approved bedridden bedroom. The facility has theft and loss policy as well as investigation procedures posted in front entry.