Routine inspection·February 24, 2023

Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection with the focus of the Infection Control domain. LPA met with the Nursing Manager, Jane Adams, and explained the purpose of the visit. The facility is approved for a capacity of 41 and serves elderly ages 60 and above. There can be 34 ambulatory with a maximum of 7 non-ambulatory residents, restricted to the Braemar Cottage. The facility may retain 2 hospice residents. LPA Chan toured the campus and observed the following: * There are 6 different cottages (Foskett, Ramona, Lambert, Shafer, Braemar, and Jameson) and each contains resident rooms, living room, small dining room, kitchen, and a laundry room. The main dining room and kitchen are located at the Armstrong building. Signage are posted by the entry points of each building and in the kitchen and common bathrooms. LPA randomly selected 6 resident rooms to inspect. They are clean and have the required furnishings. There are no pool or bodies of water on the premises. There are no items obstructing the walkways. The facility has proper Coronavirus (COVID-19) signage throughout the facility. LPA recommended to put additional signage such as cough/sneeze etiquette in the cottages and communal areas. Hand washing signs are posted in each of the bathrooms and kitchen sink. Sufficient PPE supplies are stored at the facility. Food supplies for 2 day perishable and a week of non-perishable were observed. Medications are centrally stored and locked in the med room located in the Jameson cottage. LPA reviewed medications for 6 residents and staff are administering them as prescribed by the physician. Emergency contact information for residents are current and emergency contact numbers are posted. All staff on duty were wearing face masks. No deficiencies were observed during the visit today. An exit interview was held and a copy of this report was provided to staff Jane Adams.