Routine inspection·May 21, 2021

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Jasper Eagle and explained the reason for the visit. Administrators Roland and Beatriz Lapid arrived during the visit. At 12:43, LPA toured the facility with Caregiver Jasper Eagle. There are three residents in care during today's visit. Facility has no active covid cases and all have been vaccinated. Facility has all required department postings as well as an infection prevention posted outside front door. Facility takes all visitors temperatures and requests hand washing upon entry. Residents are screened for temperature daily and results documented. LPA observed all resident bedrooms and facility bathrooms are clean and sanitary. All restrooms have ample soap/ sanitizer. Facility has two outdoor visitation areas. LPA observed emergency food and water supply. Facility has completed the required mitigation plan. Facility has a plan for testing staff and residents for covid-19 as needed. LPA observed ample PPE in the facility. During the visit, LPA consulted with Administrators on the importance of keeping ample water supply on the premises, posting hand washing signs in the restroom as well as ensuring PPE is accessible to staff.. No citations noted during today's visit. Exit interview conducted and a copy of this report was left at the facility.