Routine inspection·September 23, 2021

On 09/23/2021, Licensing Program Analyst (LPA) L. Salazar arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility by Licensee. Facility has one entry/exit point. Visitor log-in/temperature check observed at the entrance of the facility. LPA toured the facility inside and out and observed 6 out of 6 residents in the home. 3 out of 4 bedrooms were single occupancy during this inspection. Facility appeared cleaned 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. Bathrooms had a trash cans with lids. Signs promoting social distancing, cough/sneeze etiquette, and hand-washing observed. Staff were all observed wearing face coverings. Facility has multiple designated visitation areas available. Cleaning and PPE supplies were checked. LPA observed 30-day PPE and resident medication supply that was stored in a locked cabinet in the kitchen. Common and resident bathroom sinks are well stocked with liquid soap for hand washing. Food supply was checked and there appeared to be an adequate supply. Staff records were reviewed for good health and infection control training. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. Facility Mitigation plan has been received. Infection control procedures described in the plan were observed and 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 residents are fully vaccinated. Through LPA’s observations, documentation review and interview with Administrator, the required infection control practices are found to be in compliance. No deficiencies cited on today’s inspection.