Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 08/18/2022 at 10:00 AM. LPA met with Back up Administrator Justin Penrod and explained the purpose of the visit.

LPA took a physical plant tour of the inside and outside of the facility with staff. The facility has submitted a mitigation plan to the department and it has been approved. The facility has an entry point at the side door where everyone entering completes sign-in, symptom questionnaire and temperature screening. All documentation is kept in binders. The entry station has hand sanitizer along with a thermometer. The facility has a living room to accommodate leisure, a recreation room for activities, a dining room for dining, all areas are spaced to accommodate as much space as possible for social distancing. The facility has a large covered patio and gazebo with furniture for resident use. All equipment and PPE supplies are kept in the staff office and at the entry point. Medications are kept in a locked medication cart in medication area of the living room. The staff screen residents for symptoms and temperature 1x's a day and documentation is kept on file. Increased monitoring is conducted if any change of condition are noted. Signs are posted on the front door, entry area and walls in common areas regarding Covid-19. Staff makes sure residents have a mask when leaving the facility on outings into the community. All staff wear face coverings in the facility and when on outings with residents. Facility have areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New staff and residents will be tested and negative results received before working or residing in the facility. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. Continued 809-C