Routine inspection·March 3, 2022

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required- 1-year visit focusing on COVID-19 Infection Control Practices. LPA was greeted by Maribel Kessel, Caregiver and Administrator Deborah Davis arrived a short time later and LPA explained the purpose of the visit. Administrator certificate expires 1/15/2023 Last fire drill was on 01/24/2022 Structure: The Facility is a single storey building in a residential area with 6 resident bedrooms and 1 staff bedroom, there’s 2 dining rooms, 4 full bathrooms, a kitchen. A laundry room, a family room and TV room area. There is a large garden area on the back premises with tables and chairs and shade. All the resident’s bedrooms are spacious and will easily accommodate the resident's furnishings. The passageway and walkways are free of hazard and free from obstruction. Facility has hospice waiver for 6 residents. Currently there is 1 hospice resident. The following were observed/inspected: · COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept. · Water temperature measured between 105 – 120 degrees F which is within regulation range. · Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote hand washing, cough/sneeze etiquette, and physical distancing. · Facility has one designated isolation room. · Six client rooms, common areas, bathrooms, and outdoor physical plant was inspected. · Six client rooms were equipped with alcohol based hand sanitizer. · Five (5) centrally stored client medication records were reviewed. · Staff responsible for direct care and supervision were observed wearing masks. · Clients were not observed wearing masks but adhering to public health social distance guidelines. · Sufficient supply of perishable food for 2 days & non-perishable foods for 7 days were observed. · A posted Emergency Disaster Plan was observed posted at facility. · PPE's were observed. · Staff and resident files were not reviewed during today's visit. · No deficiencies were observed during today’s visit. · Exit interview was conducted with Administrator Deborah Davis. A copy of the report was provided.