Facility Evaluation Report

Licensing Program Analyst (LPA) Ryker Heberle conducted an unannounced annual inspection on 07/07/2022 at 10:02am and met with Personal Plan Facilitator Nai Saechao(Admin).

LPA toured the facility. The facility is currently operating in a reduced capacity due to the COVID-19 pandemic, offering online services to many of its clients. LPA toured the reception area, activity room, movie room, 2 bathrooms, isolation room, and 3 offices. The facility currently has clients attending the program. LPA was screened for temperature upon entrance into the facility at the designated entry point, but not screened for symptoms. All staff members observed to be wearing masks.

No prohibited items noted in facility. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizers, soap, and paper supplies were observed to be available. Food is not offered to clients at the facility, nor is medication administered at the facility. Fire extinguishers observed to have been inspected in April of 2022.

All restrooms stocked with paper towels. Hand washing signs observed in all bathrooms. Facility water temperature measured at 116.9 *F. Social distancing signs observed to be posted in all public areas. Facility was observed to have a designated room for residents to isolate in the event of manifestation of symptoms. Vaccination rate for staff and clients is currently at 100%.

No deficiencies cited during today's visit. This report was reviewed with Admin Personal Plan Facilitator Nai Saechao and a copy of the signed report was provided.