Routine inspection·April 5, 2022

Licensing Program Analyst (LPA) Michelle Reed made an unannounced visit to the facility to conduct an Annual visit. Upon arrival LPA met with Staff Sam Gamboa and Susan Lanser. Administrator William Young was contacted via telephone and arrived a short time after LPA. The focus of the visit was Infection Control. The facility was toured with Ms. Gamboa and then Mr. Young when he arrived. The following was observed: Covid signs were posted outside and inside the facility and a sanitization station(portable sink) was set up just inside the front entrance. LPA's temperature was taken upon arrival and a sign in sheet and questionnaire was available. Facility has required Department postings. Restrooms observed contained soap and toilet paper. Paper towels were also available. Hand sanitizer, soap, wipes and gloves were present and in sufficient supply. The Licensee has at least a 30 day supply of PPE. LPA observed an outside visitation area with ample shading. There were six residents present. Administrator Certificate for William Young expires 12/2/22. Social Distancing and masks were observed. Licensee has required Mitigation plan and Emergency Disaster Plan. Facility has emergency food and water supply. Facility has a secured medication cart for resident medication. Resident files were locked. During the visit, LPA consulted with staff regarding the importance of maintaining a 30 day supply of PPE on site. Additionally, LPA advised the importance of masks and hand washing for staff, visitors, as well as residents. Administrator is reminded to review all Department PINS in regards to Masks, Staff and Resident Testing, Visitation, Dining, Group Activities, Non-essential services, Outings, New Admissions and Entertainment. No deficiencies noted during visit. An exit interview was conducted and a copy of this report was provided to William Young.