Routine inspection·June 11, 2021

On 6/11/2021, Licensing Program Analyst (LPA) arrived unannounced to conduct an Annual Inspection. LPA was met by staff Margaret, introduced self, and stated the purpose of the visit. Administrator was not available to met with LPA. LPA returned to the facility at approximately 11:30 AM and met with Assistant Administrator, Martha Zapata. Licensee, Juli Hergenroeder arrived a short time later. LPA introduced self and stated the purpose of the visit. Facility has one entrance/exit point. Visitor log-in/temperature check was upon entry. Facility appeared clean with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sink. Bedrooms were checked and beds are six feet apart. LPA checked residents’ locked medications. Food supply was checked. Cleaning and PPE supplies were checked. Facility has an adequate supplies of required PPE. Staff records were reviewed for good health and infection control training. Facility staff was observed with mask on. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. Administrator certification is current. No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, a copy of this report will be provided via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.