Facility Evaluation Report

Licensing Program Analyst (LPA) Melinda Medina arrived at the facility unannounced to conduct the Infection Control Inspection. LPA met with Licensee Kimberly Searcy, the COVID contact questionnaire completed at entry. LPA entered through the central entry point where hand sanitizer and visitor symptom screening was conducted. Mitigation plan submitted and approved by Department on 4/27/2021.

Facility Mitigation plan has been approved by CCL. Infection control procedures described in the plan which were observed or reviewed by LPA include: Daily symptoms screenings (for staff, persons in care and visitors), testing, visitation , quarantine/isolation procedures, staffing, PPE storage, use and training, and daily infection control procedures. All clients are fully vaccinated.

LPA toured the facility inside and out. Required postings to encourage face coverings and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Staff were all observed wearing face coverings. Facility has multiple designated visitation areas available. LPA observed 30-day PPE and resident medication supply. Common and resident bathroom sinks are well stocked with liquid soap for hand washing.

Smoke detectors and carbon monoxide detectors present and observed to be operational. Fire extinguisher present with a service date of 01/28/2021. Water temperature measured at 107 degrees F.

Through LPA’s observations, documentation and record review, the required infection control practices are found to be in compliance. No deficiencies cited during today’s inspection.