Routine inspection·October 11, 2022

On 10/11/22, Licensing Program Analyst (LPA) Kevin Mknelly arrived unannounced to conduct a required 1 year inspection. LPA met with Deborah Taylor, Executive Director, and explained purpose of inspection. Prior to initiating the inspection LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Upon arrival, LPA completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by the front desk personnel upon arrival. LPA toured the interior of the facility together with the Director to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, one resident bedroom,kitchen,staff room, and a med room. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain and facility was found to be in substantial compliance at this time. LPA received: October staff schedule. LPA interviewed R1. LPA requested a copies of LIC 500, LIC 9020 of equivalent resident roster and liability insurance certificate for 2022-2023 to be submitted by 10/18/22. LPA advised reestablishing visitor policy notification at the point of entry and increased infection control postings to continue staff and resident awareness of current recommended measures. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.