Routine inspection·March 8, 2023

Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced on 03/08/2022 to conduct a Required-1 Year Inspection utilizing the care inspection tool . LPA met with Administrator, Grace Kellyn Sterling, and explained the purpose of the visit. LPA ensured to apply hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. LPA observed two (2) staff and three (3) residents at the facility. LPA toured the facility to ensure the health and safety of the residents in care. Areas toured include but are not limited to: 5 bedrooms and 2 bathrooms for residents, common areas, dining room, food supply, laundry room, and outdoor area. In the areas toured no immediate health, safety, or personal rights violations were observed. First aid supplies completed and emergency lighting available. The facility was free of odor, clean, and in good repair at time of inspection. Resident bedrooms were found to be free of odor, clean and in good repair. Bathrooms were clean and in good repair, equipped with required grab bars and non-skid mats. Fire extinguisher was observed to be fully charged and last serviced on 05/09/2022. Knives, cleaning supplies, and centrally stored medication were observed to be locked and inaccessible to residents. Food supply was adequate for 2-day perishable and 7-day nonperishable. LPA reviewed six (6) resident records and resident records were found to be complete and current. Two (2) staff records were reviewed and records were found to be complete and current. Staff training records were reviewed and were found to be completed and current. Both staff completed first aid training and received certificates. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.