Facility Evaluation Report

Licensing Program Analyst (LPA), Katrina Walters is conducting an Required 1 Year inspection, and met with Administrator, Vanessa Baldwin and Assistant Administrator, Mohonned Justice. The inspection is focused on the Infection Control procedures and practices of the facility. The facility submitted an infection control plan and addendum for monkey pox to community care licensing.

There are currently two (2) clients in care. Facility has an approved fire clearance four (4) non-ambulatory clients. The facility has a mitigation plan that was reviewed by the Department.

LPA observed that there was a screening station at the entrance of the facility with hand sanitizer, thermometer and disposable mask. Mitigation policies are in place as required. Clients are screened for symptoms, and observed for any changes. Facility was found to be clean, orderly, and at a comfortable temperature. Per Administrator, all staff have received droplet precaution, sanitizing, donning and doffing.

All exits were observed free from obstruction. Smoke detectors were tested and appeared to be operational. Toxins are stored inaccessible and in locked cabinets. The facility has a large sufficient supply of personal protective equipment (PPE). All postings were up and visible to all as required. Facility has a supply of COVID-19 test to test staff weekly or in the event that a staff or resident is showing symptoms.

Exit interview conducted with Administrator, Vanessa Baldwin.