Facility Evaluation Report

On April 24. 2023 Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains, arrived at the facility unannounced to conduct an annual visit. LPAs met with Facility Administrator Dominique Mills and explained the purpose of the visit. The following Personal Protective Equipment (PPE) was worn: surgical masks. Additionally, LPAs were screened by staff.

LPAs and Administrator toured facility together to ensure health and safety of clients in care. Areas toured include but are not limited to: bathrooms, classrooms, hallways, kitchen including walk-in refrigerator and freezer, and outside grounds.. LPAs reviewed 5 client files and 5 staff files. All files contained the required paperwork. Water temperatures were within the required temperature range. Facility had a full supply of PPE including surgical masks, face shields, gowns, and N95s. First Aid kit was fully stocked. All cleaning chemicals and laundry supplies were kept locked.

Administrator agreed to send updated LIC500 and LIC610 to department by 05/05/2023.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report was provided to Administrator.