Pre-licensing visit·February 9, 2022

On 2/9/2022 at 1:40 pm, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Pre-licensing inspection for change of ownership referencing the infection control domain. LPA met with Caregiver, Leah Cummingham, and explained the purpose of the visit. Prior to initiating the 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. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. Additionally, LPA were screened by facility staff upon entering the facility. Administrator arrived to the facility shortly afterwards. LPA toured the interior and exterior of the facility together with Administrator to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, staff office, and backyard. In the areas toured, no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control recommendations and facility was found to be in substantial compliance at this time. LPA confirmed that masks were worn by staff. LPA observed a more robust lock on the knife drawer and kitchen sink cabinet, all toxins and chemicals be secured from residents. LPA observed medication to be stored in a secured office. LPA completed the Component III Orientation with Administrator. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report left at the facility.