Facility Evaluation Report

Licensing Program Analyst (LPA) K. Hiratsuka, arrived at the facility unannounced on 08/11/2021 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Staff member Donna Mallett and explained the purpose of the visit. Prior to initiating the annual inspection visit, 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. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by Donna Mallett.

LPA and facility staff toured facility together to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas, common bathrooms, and kitchen. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and facility staff completed the infection control domain and facility was found to be in substantial compliance at this time. LPA arrived at this day program after the clients went home for the day.

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

Exit interview conducted and copy of report left at the facility