Routine inspection·January 31, 2023

Licensing Program Analyst (LPA) Abeye Duguma met with the Executive Director, Kathleen Sturkey, for a One (1) Year Required - Infection Control visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 1:00pm and the following was noted: There is one entrances being utilized at the facility, there are required posters posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing masks upon entrance and during the visit. Signs to wear masks and other COVID 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The campus has multiple shaded area for residents and visitors. The facility has sufficient stock of PPE in a storage closet located near the entrances. The facility has a total of five (05) bedrooms, of which one (01) is for staff and three (03) bathrooms for both residents and staff. The facility is fire cleared for four (04) non-ambulatory. The facility is currently occupying zero (00) residents. The facility has a swimming pool that is fenced and locked. Laundry detergents, cleaning agents and other toxins are stored in a locked laundry room. Kitchen area is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. (continued on LIC 809-C) Knives and sharps are observed to be locked in a kitchen cabinet inaccessible to residents. Living and dining room furniture were also checked. The living rooms are neat and clean along with the dining room. The facility maintains a comfortable temperature at 73°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguishers are located in the kitchen and hallway observed to be full and last inspected on 01/18/2023. Staff rooms were observed to be locked. No medications are observed in staff rooms. The residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathrooms were checked for cleanliness and proper operations. The hot water temperatures was measured between 115.6°F. Towels and washcloths are not shared. There was enough clean linen available in a storage closet located near the front entrance. LPA observed medications and first aid kit to be locked and inaccessible to residents, located in the kitchen. Exit interview conducted. Copy of this report issued.