Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted 1 year required inspection and met with Administrator/Licensee Hattie Strong, and Co-Administrator Gilbert Dodson. The inspection is focused on the Infection Control procedures and practices of this facility.

All visitors, essential visitors, and staff are screened upon entry; temperatures are taken, and information is logged. Residents are screened and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to residents and staff that do not handle medications. Upstairs bathroom actively going through construction, but tub and toilet are operational. Sink to be installed within the next day or so. Grab bars will be re-installed upon completion, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). Administrator and the Licensee had a mask on during the LPA's inspection. Mitigation plan was approved.

There were (4) residents in care at the facility during this inspection.

No deficiencies during today's inspection.

Exit interview conducted with the Administrator.