Facility Evaluation Report

Licensing Program Analysts (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Administrator, Brenda Sheridan (BS). The facility currently provides care for 5 clients all of which where out of the facility at the time of visit.

LPA arrived at the facility and had temperature checked and logged. LPA's continued with a tour of the facility with the Administrator; 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 was found to be last charged on 3/10/2021 at the time of the visit. 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 facility staff office. There was a supply of cleaners, hygiene products and paper products available for clients. Staff provide full assistance with hand washing for clients. All client’s bedrooms have lighting & appropriate furnishings. LPA observed backyard fencing to be in disrepair. LPA spoke with Licensee, Joetta Griffin and was informed that the facility is in contact with neighboring home with repairs started previously in the month. LPA observed materials for beginning stages of repairs supporting fencing. Licensee agrees to provide proof of repairs to LPA by plan of correction date 12/17/2021.

Facility has submitted a mitigation program plan which has been reviewed and approved. Posters have been placed at the front door, and facility has a station near the main entrance with a sign in sheet, hand sanitizer and other items designated for visitors and staff. Staff and residents are screened for temperature and symptoms on a daily basis and recorded. In addition, facility has client emergency contact information available during inspection.

No deficiencies cited during today's inspection.