Facility Evaluation Report

On 4/14/2022 around 11:30am, Licensing Program Analyst (LPA) Mai Thao arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with administrator Amy Fulk and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask.

LPA and Administrator toured the facility together to ensure health and safety of residents in care. During today's inspection, there are 0 clients currently attending the Day Program on-site. Administrator stated that the facility is currently providing virtual services to clients only. Areas toured include but are not limited to: common areas, activity rooms, medication room, two (2) bathrooms, kitchen, storage areas, and laundry area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and the administrator completed the infection control domain and facility was found to be in substantial compliance at this time.

During today's inspection, LPA and Administrator discussed mitigation protocols but not limited to, isolation room, isolation PPE cart, screening procedures and documentation, and importance of mask wearing. LPA did not conduct an overview of P&I cash resources and medications for clients due to COVID-19, no client are currently attending program on-site.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report was left at the facility with Administrator.