Facility Evaluation Report

On this date 5/2/2022, LPA Medina conducted an Annual Required Infection Control Inspection. LPA was met by Licensee Shannon Harp. 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 appeared clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to resident and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. Resident bedrooms toured, 2 rooms are private, shared room has a minimum of 6 feet between beds. LPA checked residents’ medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Facility staff was observed with mask on.

Shannon Harp serves as facility Administrator certification #6042030735, expires 6/15/2022. First/CPR expires 3/03/2023.

Licensee to submit LIC 500, LIC 610, LIC 9020 to Department no later than 5/13/2022.

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