Facility Evaluation Report

08/15/2022 8:45 am Licensing Program Analysts (LPA) Shannon Diegoruelas, arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Tim Watson, Staff and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA contacted AD and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical mask. Additionally, LPA was screened by Administrator assistant.

LPA and the staff toured facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, two and half (2 1/2) bathrooms, six (6) resident rooms, kitchen, storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and the staff completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report was emailed to Admin.