Routine inspection·June 24, 2022

LPA Spaeth conducted an unannounced visit to the facility and was greeted by caregiver. LPA was asked to record temperature and answer COVID questions. LPA observed the sign in station which contained thermometer, hand sanitizer, and sign in sheet with COVID questions. LPA also observed another caregiver who was wearing a mask. LIving Room/Dining Room Area - LPA observed comfortable seating in the living room along with dining room furniture. The room was comfortable and clean. Family Room/Kitchen Area - LPA observed a resident watching television in the family room and saw the room contained comfortable furniture. LPA observed there were no harmful chemicals in the cabinet beneath the sink. The medications and knives were locked in the kitchen cabinets. LPA observed the refrigerator contained a five-day supply of fresh fruits and vegetables, eggs, and other dairy products. The freezer contained frozen meats and vegetables. The sink area contained wash your hands sign, paper towels, and hand soap. The pantry was neat and well-stocked with a seven-day supply of canned goods and other dry good items. Backyard area -LPA observed a shaded area in the backyard which contained comfortable seating. The side gate was not locked that leads from the backyard to the front yard. The backyard was also neat and clean. Hallway area - LPA observed two hall closets which contained clean linens, an adequate supply of PPE items, and diapers. Residents' Rooms- There are four resident rooms and three are occupied. Each room contained bed, linens, chest of drawer, closet, night lamp, night stand and a chair. Each room was neat and clean. Locked Laundry Area - LPA observed the locked laundry area which contained laundry detergent, cleaning supplies, washer and dryer. A door within the room led to the garage which contained additional storage items and an additional refrigerator which contained eggs and frozen meats. Bathrooms - There are two bathrooms in the facility. Both bathrooms contained wash your hands sign, hand soap, paper towels, and a trash can. The Caregiver explained one bathroom is used for showering residents; however, the bathroom did not contain a slip resistant mat. Under Title 22 General Regulations, the following citation was issued and recorded on LIC 809D. Exit interview was conducted, appeal rights discussed and LPA gave a copy of the report during the visit.