Facility Evaluation Report

08/24/2021 11:30 AM Licensing Program Analysts (LPAs) Misty Valencia and Dawn Keane arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPAs met with Program Administrator Heather Grant and Program Operations Supervisor Katie Winterburn and explained the purpose of the visit. Prior to initiating the annual inspection, LPAs 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; contacted administrator and completed a facility risk assessment. LPAs ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask, Additionally, LPAs was screened by staff Floor Supervisor Brianna Lee.

LPAs, Ms. Grant and Ms. Winterburn toured the facility together to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas, two (2) bathrooms, isolation room, and the kitchen. In the areas toured no immediate health, safety, or personal rights violations were observed. LPAs, Ms. Grant and Ms. Winterburn 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 todays inspection. Technical Assistance was provided.

Exit interview conducted and copy of report was emailed to Ms. Grant.

Staff to send in updated copy of the Emergency Disaster Plan.