Facility Evaluation Report

7/07/2021 11:00 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 care staff Jasmine Ward and explained the purpose of the visit. Administrator Leka Nunez was unavailable at the time of the inspection. 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: Surgical mask, gloves. Additionally, LPA Knight was screened by Ms. Ward.

LPA Knight and Ms. Ward toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, four (4) resident bedrooms, two and a half (2.5) bathrooms, kitchen, garage and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Knight and Ms. Ward 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 administrator Leka Nunez.