Facility Evaluation Report

Licensing Program Analyst (LPA) Katrina Walters arrived unannounced to conduct a Post Licensing inspection and met with Licensee, Harjit Aujla. The inspection is focused on the Infection Control procedures and practices of this facility. At the time of inspection there were two clients away at day program. One client was at the facility with one staff. The licensee/administrator and another staff arrived later.

Once inside, LPA observed a screening station near the entrance that included a visitor sign in along with temperature gun. Staff checked LPA temperature. LPA initiated a walk-through of the facility and observed the following: Facility has COVID-19 posters throughout that promoted droplet precaution. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Commonly touched surfaces are disinfected on each shift. Facility maintains documentation of client's daily temperatures. Bathrooms were stocked with paper towel and paper products.

Facility has at least a 30 day supply of Incontinence, medication and personal protective equipment (PPE) including but not limited to masks, gowns, and hand sanitizer. Smoke and carbon monoxide detectors were tested and appeared to be working. Fire extinguisher was last serviced 07/22/2022. LPA reviewed C1's Needs and Service Plan to ensure facility has plan in place for R1's restricted health condition.

No deficiencies cited during this inspection.