Facility Evaluation Report

Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and was greeted by Lead Staff Bobbie Dearmon (BD). Additional Lead Staff Robert Stephens arrived during the visit. The facility currently provides care for three (3) clients 2 of which were in the facility and one of which was out in the community at the time of visit.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with facility 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 Extinguishers were found to be purchased on 5/12/2021 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 under kitchen and separate storage area. There was an ample supply of hygiene products and paper products available for client use. All client’s bedrooms have lighting & appropriate furnishings. Hot water measured at 116.2 and 117.3 degrees F which is within Title 22 regulations of 105 to 120 degrees F in faucets used by clients.

Facility has submitted a mitigation program plan which has been approved. All staff and clients have been vaccinated with no reported or observed symptoms. Posters have been placed at the front door, and facility has a station at main entrance with a sign in, hand sanitizer and other items designated for visitors and staff. Staff are screened for temperature and symptoms on a daily basis and clients are screened on a daily basis.

No deficiencies cited during today's visit. Hard copy of the report was sent to Licensee.