Routine inspection·July 22, 2022

On 7/22/2022, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required annual. LPA met with Barbara Fleck, Executive Director, and explained purpose of the inspection. Before today's inspection, LPA completed required COVID-19 testing protocols and completed daily assessment. LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask. The facility is licensed for (95) residents and has a hospice waiver for (15). There are (1) residents currently on hospice. There are (19) residents in memory care unit, the facility is licensed for (20). LPA and Executive Director toured the interior of the facility including the Assisted Living Unit, Memory Care Unit, laundry, library, staff break room, restrooms, salon, and common areas including the lobby area. In areas toured, LPA observed the facility to be clean, safe and in good repair and to not pose a health and safety risk or personal rights violation. LPA observed paper towels, soap and trash cans with a lid. Inside temperature was observed to be 73* F. LPA toured the kitchen and observed 2+ day perishable and 7+ day nonperishable food. LPA observed the Administrator Certificate posted (Barbara Fleck #6041744740) to be expired 7/21/2022. Executive Director provided proof of renewal to LPA, mailed to CDSS on 5/23/2022. LPA observed the fire extinguishers to be last serviced 1/18/2022. LPA requested an copy current liability insurance during today's inspection by Friday 7/29/2022. There were no deficiencies observed during today's inspection. Exit interview. Copy of report left at facility with Executive Director.