Routine inspection·January 12, 2023

Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced on 01/12/2023 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with facility staff, Steven Johnson, and explained the purpose of the visit. 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 and LPA washed hands. 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. Administrator Nellie is currently conducting a pre-licensing inspection at another facility and is unable to meet with LPA. 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, garage and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Facility staff, Steven Johnson, arrived at the facility at a later time. LPA and Administrator Nellie Johnson completed the infection control domain via telephone 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.