Routine inspection·September 30, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with Administrator Michelle Maurer and explained the reason for the visit. The LPA toured the facility to ensure there are no health and safety hazards and to ensure regulatory compliance. KITCHEN : Knives and chemicals are locked inaccessible. Appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS : Bedrooms were furnished appropriately; beds were observed with clean linens and rooms had sufficient lighting. All direct exits were clear and no obstructions were noted. RESTROOMS : Restrooms were clean and sanitary with grab bars and non-skid surfaces. At 11:40 a.m., water temperature measured at 113.2 F. Restrooms were fully stocked. Hand-washing signs were observed. COMMON SPACES : Smoke detectors and common monoxide detector were operable at the time of the visit. Fireplace in the living room was covered. Fire extinguishers were fully charged and purchased 10/2021. The backyard had furniture and a covered area for resident use. The side gate door was self-latching. No bodies of water noted. The garage is attached, but was locked. Inside the garage was the washer and dryer, cleaning supplies, and Personal Protection Equipment (PPE). INFECTION CONTROL : There was a central entry point for screening and temperature checks. The LPA was appropriately screened upon entry into the facility. Staff were wearing appropriate face coverings. Infection Control signs were observed on the front door and in the facility. The facility’s cleaning protocol is sufficient. Staff continue to document temperatures of staff and residents on a daily basis. There was record of staff and resident vaccinations. The LPA discussed changes around testing, visitation and vaccine requirements. The facility recently managed COVID-19 active cases and the facility complied with all requirements set forth by the local health department and licensing. The facility's procedures as it pertains to infection control are adequate. No deficiencies. Exit interview conducted. A copy of the report was issued.