Facility Evaluation Report

On 8/11/2022 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete an unannounced infection control/annual visit. LPA met with Care Staff, Melinda Conley. LPA contacted Administrator, Lorrie Conley who stated they were unavailable at the time. Administrator gave permission to complete visit with Melinda Conley. LPA completed a health and safety check on clients in care and toured the facility. Facility was toured inside and out.

LPA observed a central entry point with a supply of hand sanitizer and a sign in policy that includes documented routine symptom screening for resident's, staff and visitors. LPA was not COVID pre-screened at time of entry.

Infection Control Plan was submitted. Infection control procedures described in the plan include required postings, symptoms screenings (for staff, persons in care and visitors), testing, quarantine/isolation cohorts, infection control plan to include donning and doffing of Personal Protective Equipment. Staffing and sick leave plans are in place for emergency staffing and/or PPE shortages.

Required postings of signs to include hand washing, and physical distancing were observed throughout the facility. 3 of 3 staff observed without face coverings. Covered trash bins were observed. A supply of PPE was not observed. Administrator to provide additional PPE for staff. Sinks are well stocked and liquid soap for hand washing and paper towels for hand drying observed.

Through LPA observation of documentation and interview with Administrator and staff, the required infection control practices were not found to be in compliance. TA's given on todays inspection for infection control.