Routine inspection·December 14, 2022

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met Shan Winter, caregiver, who contacted Bianca Gheju, Administrator Designee, by phone. Administrator Designee arrived at approximately 2:35 pm. Administrator, NIcoleta, has been out of town due to a family emergency for approximately (5) days and is expected to return next week. LPA observed second caregiver, Stephanie Tyndell, to also be present. LPA observed (1) resident in the common area and (2) residents in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (3). Currently, there is (1) resident on hospice. Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols, wore a surgical mask and was screened per Covid-19 precautionary measures upon entering the facility. LPA and Administrator Designee toured the interior and exterior of the facility including the common areas, (4) resident bedrooms (1) shared resident bedroom, (3) resident bathrooms, kitchen, staff room and laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and medications in the kitchen. LPA observed locked toxins in the laundry room. LPA observed the inside temperature to be 79*F. LPA observed games/activities on site. Discussed vaccination status of residents/staff and eligibility for boosters. LPA observed multiple Covid posters throughout as well as other required postings. LPA observed (1) unlocked gate from the inside back patio. There are no bodies of water or a pool. LPA observed sufficient incontinent and PPE products on hand. Discussed PIN 22-28.1 issued 11/29/22 regarding visitation protocols. LPA obtained an updated copy of the LIC500 and current liability insurance and requested an updated copy of the LIC308- due by 12/23/22. There are no deficiencies issued during today's inspection. Exit interview. Copy of report provided.