Routine inspection·January 18, 2023

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 1/18/23 to conduct a Annual Inspection utilizing the infection control domain. LPA met with staff and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed the Department's required COVID-19 protocols.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. Administrator is present at the facility to conduct an annual inspection. 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, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, Administrator, and Infection control Leader completed the infection control domain and facility was found to be in substantial compliance at this time. LPA advised working with residents who delay medication that they are not left out, repair the back yard gate swollen by rain, to operate properly, more robust screening and documentation and establish procedures for non-perishable food rotation and clean/ disinfect surfaces. LPA received LIC 500, resident roster and liability certificate. LPA reviewed Probation conditions and observed compliance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.