Routine inspection·August 22, 2023

Licensing Program Analyst (LPA) Melissa Parks and Associate Governmental Program Analyst (AGPA) Katie Keith arrived on Tuesday August 22, 2023 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and AGPA reviewed resident (8) and staff (8) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. Facility is complaint with fire drills. Additionally, LPA reviewed elopement drills. LPA, AGPA, and Executive Director toured the facility together to ensure the health and safety of residents in care. The areas toured included memory care apartments, memory care common areas, memory care courtyard, assisted living apartments, assisted living courtyard, lobby, kitchen, and laundry rooms. LPA and AGPA observed the facility's emergency food, water storage and PPE. All water temperatures were within the required range. LPA and AGPA observed unlocked over the counter medication in a cabinet in the first floor hallway (pictures taken). See 809-D for citation. LPA requested an updated copy of LIC610E, LIC500, and current liability insurance by 8/31/2023. Exit interview conducted. Appeal rights were given. A copy of this report was emailed to the Administrator.