Facility Evaluation Report

On this date 9/23/22, LPA Medina conducted an Annual Required Infection Control Inspection. LPA was met by Licensee, Breann De Boer. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point, all staff and visitors enter through front door. Facility staff observed to be wearing face masks.

Facility appeared clean and no fire hazards observed. All common areas have adequate seating and lighting for all residents in care. All residents have private bedrooms, resident bathrooms observed to have trash cans with lid.

Fire extinguisher present and has a service date of 3/22/2022. Carbon monoxide detector and smoke detectors present and observed operational during today's inspection.

LPA observed facility to have a 2-day supply of perishable and 7-day supply of non-perishable food available. All medications observed to be locked and secured. All cleaning supplies are locked and secured in laundry room.

LPA received copy of updated LIC 9020 during facility inspection.

No deficiencies were observed. Exit interview was conducted. Report signed during inspection and a copy left for facility file.