Routine inspection (multi-day)·November 4, 2021

Licensing Program Analyst(s) (LPA) Mary Flores conducted a case management - annual continuation visit with focus on Disaster Preparedness, Residents with Special Health Needs, and Residents Rights Information domains. LPA Flores met with Lori Lackey assistant administrator and explain the reason of the visit. LPA conducted a tour with Lori Lackey and observed 3 stairways/emergency exits each staircase has an evacuation chair on the second floor, LPA observed oxygen signs posted outside the door in rooms #205,228,230,233,243,252,258,126,130,131,110 and enter rooms #126, 130,131,110 and observed oxygen tanks in stands. LPA observed a storage closet with a substantial amount of water jugs in the first floor, fire extinguishers are located in each floor throughout the floor plan and tags were observed to be check at least once a month. LPA observed emergency food supplies in kitchen's pantry with an expiration date of 2/20/41. LPA Flores interviewed five staff, and six residents, and reviewed emergency disaster plan binder. This concludes annual visit for the facility. LPA observed facility is following current COVID 19 guidelines and recommendations per PINs and CDC guidelines. No deficiencies were found during this visit. Technical assistance were provided. Exit interview was conducted with Virginia Garcia administrator and a copy of this report was provided.