Facility Evaluation Report

On 11/23/2021 at 10:15 AM, Licensing Program Analyst (LPA) Dawn Keane arrived at the facility unannounced to conduct a case closure visit. LPA met with Sherri Banford Health Services Director (HSD) and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N 95 Mask. Additional LPA was screened at the front desk upon entering the facility.

· Comments: HSD reports that Karena is no longer working at the facility

Date of facility visit **:      11/23/2021

No deficiencies are being cited as a result of todays visit. Copy of the report given to HSD.