Routine inspection·August 30, 2022

At 11:50 a.m. on 08/30/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual visit. LPA met with Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out. The facility was last visited on 07/14/2021 for an annual visit. It is a single story building with 3 bedrooms, 2 bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for 6 residents, of which 1 may be bedridden in Bedroom #1. Approved hospice waivers for six. Due to staffing needs, the facility has not yet admitted any residents. A screening station near the front entrance contained digital thermometer and visitor log. The visitor log tracked temperature, symptoms, and vaccination status. The 3 shared bedrooms contained a chair, nightstand, lamp, storage, and bed with adequate bedding. All furnishings were clean and in good condition. The emergency exit in Bedroom #1 was free of obstructions. The facility has 2 bathrooms. The resident bathroom contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. Kitchen appliances were functional and sanitary. Sharps and cleaning solutions were locked. A washer and dryer were in good condition. Detergent was locked above the appliances. Walls, floors, ceilings, windows, screens, and blinds were clean and in good repair. All emergency exit paths were free from obstructions. Exit gates were unlocked with inward facing latches. At 12:10 p.m. LPA tested the dual functioning smoke and carbon monoxide detector to be operational. At 12:19 p.m. LPA observed a fully charged fire extinguisher in the dining room. A covered patio contained furniture in good condition. During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued. Exit interview conducted. Copy of report issued.