Facility Evaluation Report

At 2:22pm, on 11/30/2021, Licensing Program Analysts LPA Diaz conducted an unannounced annual inspection of the facility above.

LPA informed administrator of the reason for the visit. LPA and Administrator toured the facility. LPAs initial tour of the facility resulted in observations which were immediately addressed by the administrator and facility staff: At 2:34pm, LPA observed no hand washing signage in the kitchen. Assistant Administrator placed washing signage in the kitchen. At 2:49pm, LPA observed a 2 month expired fire extinguisher. LPA observed laundry room and laundry detergent locked in the appropriate cabinet. LPA observed clean counter tops, and adequate food in cabinets and in refrigerator. LPA also observed supply of PPE, toilet paper soap and paper towels. LPA observed all window screens to be intact.

At 2:55pm, LPA Diaz conducted Infection Control mitigation module with Administrator. Administrator was instructed to immediately search for an N95 fit testing vendor. LPA observed 1 shed with maintenance equipment unlocked in the backyard. Assistant Administrator immediately locked shed. No other corrections found in mitigation module.

Exit interview conducted and report emailed