Routine inspection·February 24, 2023

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 2/24/23 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with licensee and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 daily self-screening affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by caregiver upon entering the facility. Administrator is present at the facility. LPA toured the interior and exterior of the facility together with licensee 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, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and licensee completed the infection control domain and facility was found to be in substantial compliance at this time. LPA confirmed a infection control plan is in place LPA advised: Use of Guardian for staff clearance and roster management, that PIN 23-02 be printed and reviewed with all, review emergency/ disaster plan and PIN 22-24 collaborating with HH and Hospice. LPA requested: resident roster, LIC 500 and copy of Liability Insurance provided. Documents to be submitted to LPA via email by 3/3/23. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.