Routine inspection·December 14, 2021

Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced on 12/14/2021 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with facility staff, Annabelle Burton, and explained the purpose of the visit. Prior to initiating the annual 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 and 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 were screened by facility staff upon entering the facility. LPA requested for facility staff to contact Administrator, Nellie Johnson, to inform her that LPA is present at the facility to conduct an annual inspection. LPA spoke to Administrator on the telephone. Administrator stated she is not able to meet LPA at the facility and gave permission for staff to assist LPA and sign report. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, six (6) resident bedrooms, four (4) bathrooms, kitchen, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and staff completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and LPA sent a copy of the repot via email.