Routine inspection·October 29, 2021

Licensing Program Analyst (LPA's) Joseph Alejandre and Jerome Haley made an unannounced visit to conduct the required annual inspection. LPAs were greeted and granted entry by staff. LPAs were screened for symptoms of Covid. There is no PUB 475 poster posted in the entrance way. LPAs observed all staff were wearing mask. Administrator (AD)Julie arrived at 9:50am. LPAs and AD toured the facility. LPAs observed all resident bedrooms had the required furniture and had enough space to accommodate the resident and their belongings. LPAs inspected the bathrooms. All bathrooms were clean and operational. Hot water measured 116.9 degrees Fahrenheit to 119.8 degrees Fahrenheit. LPAs inspected the kitchen. LPAs observed the facility has a 2-day perishable and a 7-day non-perishable food supply on hand. LPAs observed medication is locked in the kitchen pantry. LPAs observed knives are kept locked in a kitchen drawer. LPAs inspected the facility garage. The garage is used for storage and kept secure from residents. LPAs inspected the First Aid kit. The First Aid kit had all the required elements. LPAs toured the backyard of the facility. No bodies of water observed. There's a sitting area with a table, chairs, and umbrella for sitting outside. The exit gate on the East side of the facility is operational. Facility has a mitigation plan that is pending approval. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.