Facility Evaluation Report

Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Lead Care Staff, Charles Lewis and conducted a tour of the facility. Licensee, Alexis Patton (AP) arrived at the facility later during the visit. The facility currently provides care for 3 clients all of which were present at the time visit.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with Lead Staff; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher newly purchased in June 2021. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked designated closet in the hallway and in the garage. There was a supply of cleaners, hygiene products and paper products available for clients. All clients bedrooms have lighting & appropriate furnishings.

Facility has submitted a mitigation program plan which has been approved. Staff and clients are under 70% vaccinated but continue to conduct surveillance testing on a weekly basis for all staff. Clients' medical diagnoses prevent COVID vaccination but Licensee is requesting for Physician's re-assessment and clearance. Posters are readily available to staff and clients for COVID procedures, and facility has a station at main entrance for screening, hand sanitizer and other items designated for visitors and staff. Staff and clients are observed for symptoms and temperature on weekly basis.

No deficiencies cited during today's visit.