Facility Evaluation Report

Licensing Program Analyst (LPA) Olson conducted an on-site 1 year infection control annual visit to the facility above on 02/24/2022 at 3:05 PM. LPA met with Administrator Mara Whitten and explained the purpose of the visit.

LPA took a physical plant tour of the inside and outside of the facility with Administrator.

The facility has an entry point where everyone entering completes sign-in and temperature check for all staff, clients, and visitors wanting to come into the facility. All documentation is kept in on file.

The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. The COVID-19 Safety Team is in charge of infection control and provides training and education to staff, clients and visitors.

If any suspected or confirmed cases of Covid-19 are found inside or outside the facility a staff will use PPE supplies that will be located right outside those rooms when required. Facility has a 30 day supply of PPE on hand. The facility has proper cleaning and disinfectant policies. Facility Administrator has a plan in place for when and whom to notify in an outbreak or other emergencies. Facility has conducted training on infection prevention, symptoms, transmission and PPE use. Facility has non-punitive sick leave polices for staff. Sick staff are requested to stay home and not report to work if ill. Activities have been modified to individuals or small groups with social distancing. The facility ensures proper cleaning is done on frequently touched surfaces and between any individuals sharing of space or items. Sinks were well stocked with soap, paper towels and hand washing signs. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. The most stringent orders should be followed by any of these agencies.