Routine inspection·May 19, 2022

At 9:30am Licensing Program Analyst (LPA), Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by the Administrator, who granted access to the facility. Reason for the visit was explained. LPA conducted a physical tour with the Administrator and observed the following: Infection control: LPA reviewed the facility mitigation plan (approved on 03/06/2021) to make sure licensee was following current infection control recommendations. Upon arrival, LPA was screened and asked to sign-in the visitors’ log. In addition, LPA was asked all infection control questions. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. Kitchen: At approximately, 09:50am LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked under the kitchen sink and inaccessible to residents in care. Fire extinguisher was last serviced on 02/18/2022. Medications: At approximately, 10:15am LPA observed medications are centrally stored and locked in the cabinet located in a staff room and inaccessible to residents in care. Bedrooms: There are four (4) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational Continue on LIC809-C Bathrooms: At 10:20am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 105.0°F. LPA observed appropriate grab bars and showers had non-skid mats. LPA observed appropriate hand washing signs posted in each bathroom. Common Areas : The facility maintains a comfortable temperature at 78°F. The living room and dining area appeared clean and were properly furnished and the fireplace is adequately screened. Laundry area is located in a hallway and LPA observed all cleaning and laundry detergents locked and inaccessible to residents. Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 10:30am they were tested and observed to be operational. Outside areas: At approximately, 10:35am LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. Administrative: LPA collected Certificate of Liability Insurance, and LIC.500. No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.