Routine inspection·December 1, 2021

Licensing Program Analyst (LPA) James Sampair conducted a required infection control annual inspection. Upon arrival, LPA explained the purpose of the visit to Executive Director Melody Mitchell, who led, along with Director of Environmental Services Micheal Calhoun, a tour of the facility inside and outside. The facility has a completed COVID-19 mitigation plan (LIC 808). The LPA observed that a digital system is being used for Covid-19 screening of all visitors and staff. LPA observed all staff wearing face masks during visit. There were Covid-19 signs at the entry point for visitors, but signs were not posted throughout facility to promote handwashing, cough/sneeze etiquette, physical distancing, or mask wearing for residents for which they were provided Technical Assistance, because this practice has a health and safety impact that includes, but is not limited to buildings and grounds, personnel requirements, and personal rights. There were sufficient food and water supplies and PPE supplies. The temperature within the facility was maintained at a comfortable level. A certified administrator is on site more than the minimum of 20 hours a week to oversee proper business operation. There were two Type A violations: 2:19PM hot water temperature in Third Floor Model Room measured at 122 degrees F 2:31PM cleaning solution in Aspen Room in unlocked cabinet under sink An exit interview conducted and a copy of this report was provided to the administrator.