Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Willis arrived unannounced to conduct an Annual Required inspection and met with Licensee/Administrator, Canzadie Johnson. The inspection is focused on the Infection Control procedures and practices of this facility.

Upon arrival, LPA observed a screening station near the entrance. Licensee confirmed they screen visitors but indicated that most individuals visit in multiple outside areas of the facility. LPA initiated a walk-through of the facility and observed the following: Facility has COVID-19 posters throughout that included hand washing signs in bathrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Observed staff had masks on during this visit. Commonly touched surfaces are disinfected twice per day and after use.

Staff continue to receive Covid-19 training and have been N95 fit tested. LPA and Licensee discussed visitation and activities.

Facility has submitted and CCL has reviewed their Covid Mitigation Plan. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including but not limited to masks, N95s, and hand sanitizer. Facility maintains a 30 day supply of medication. Fire extinguishers were last serviced March 2021. Hardwired smoke and carbon monoxide detectors throughout facility were tested and operational.