Routine inspection·May 25, 2021

Licensing Program Analyst (LPA) Jennifer Semin arrived at the facility unannounced after completing a COVID-19 Risk Assessment Screening for the facility via telephone. LPA met with licensee/administrator David Carlson and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Below is a summary of what was observed: LPA went over COVID-19 best practices for infection control and prevention with Mr. Carlson who is successfully incorporating the facility's Mitigation Plan. Residents will have hand sanitizer available to them and the bathrooms were stocked with hand soap and paper towels. LPA observed the facility to have multiple postings throughout the facility for cough etiquette, proper hand washing procedure, social distancing, and emergency contact information for local fire department has been updated. LPA requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was located in the hall closet. LPA observed a minimal supply of PPE readily available for use. LPA discussed with Mr. Carlson the need to increase the amount of on hand PPE items including gloves, face shields, gowns, surgical masks and N95 masks. Disinfectant and hand sanitizer supply is stored in the laundry room and inaccessible to residents. LPA and Mr. Carlson discussed creating a box, or similar, to have a supply of PPE ready that would be dedicated for isolation room, along with a trash can to put outside of an isolation room. An exit interview was conducted and a copy of this report was discussed and provided to Mr. Carlson.