Facility Evaluation Report

At 11:00am on 09/08/2022, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct an annual infection control inspection. LPA met with Administrator Charles Barns and announced who he was and the reason for the visit.

At 11:15am Administrator and LPA took a cursory tour of the facility. The facility is a 5 bedroom, (3 residents have single rooms, 1 staff room) 3 bath, kitchen, dining room, 2 living rooms, 1 Med room (where medications are locked), and one office/craft room. LPA observed that all exits in the facility are clear of obstruction, all fire alarm and carbon monoxide detectors are functioning properly. LPA observed a 2-day supply of perishables and a 7-day supply of nonperishable foods. LPA observed appropriate amount of PPE supply at the facility. LPA noted that outside in the back yard there is currently demolition of pool and spa that is cordoned off with yellow tape, demolition is expected to end by October 2022, to be replaced with grass. LPA did not observe any noticeable hazards during this tour.

At 11:45am Administrator and LPA conducted the infection control module portion of the annual inspection. LPA noted that there were no deficiencies cited at this time.

Exit interview, report signed, and report emailed.