Facility Evaluation Report

04/12/2022 11:30 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with assistant administrator Melanie Carter and explained the purpose of the visit. Licensee Barbara Tippetts arrived later. 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. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask, gloves. Additionally, LPA Knight was screened by Melanie Carter.

LPA Knight and Ms. Carter toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, six (6) resident bedrooms, three (3) bathrooms, kitchen, patio area and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Knight and the licensee completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection. Technical Assistance was provided.

Exit interview conducted and copy of report was emailed to licensee Barbara Tippetts.