Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Required-1 Year inspection at approximately 3:05 PM and met with Executive Director, Sherri Kimbell. The inspection is focused on the Infection Control procedures and practices of this facility.

At primary entrance LPA observed temperature logs and staff sign-in sheet. LPA conducted walk through of the facility with Sherri Kimbell and observed COVID postings throughout. Mitigation plan was received and reviewed by Community Care Licensing (CCL).

Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Staff have completed Personal Protective Equipment (PPE) and infection control training. Staff were N95 fit tested at the beginning of the pandemic. High touch surface areas are disinfected daily. LPA confirmed facility has necessary PPE and supplies to support a resident in isolation. Facility currently has three bedrooms with two clients per bedroom. If client were to become ill there is plan in place to isolate clients.

Clients' emergency contact information has been updated and executive director confirmed staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible in locked garage cabinet as well in locked cabinets in hallway. Medications are locked and inaccessible in medication room. All clients have received their first booster shot. Facility is currently conducting weekly surveillance testing for all staff.

Administrator on file no longer with the facility. Facility will submit application to designate a new administrator. LPA requested the following documents during the visit: LIC 308, LIC 500, LIC 610, LIC 9020

Exit interview conducted with executive director, and a copy of this report printed for the facility