Routine inspection·June 16, 2022

On 06/16/2022, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced to conduct a Required-1 Year Inspection. LPA met with Director, Kim Jackson, and explained the purpose of the visit. Prior to initiating the annual 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: Surgical Mask. Additionally, LPA was screened by facility staff upon entering the facility. LPA and Director toured the interior of the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, med room and laundry room. LPA observed toxics, medication and sharps to be secured in locked areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Director followed the infection control domain guidelines and facility was found to be in substantial compliance at this time. LPA reviewed a record resident visitation log. LPA observed the (2) fire extinguishers to be monthly inspected. Director inquired LPA about the usage of surgical masks for unvaccinated staff with medical/religious exemptions. LPA was provided a copy of the Administrator Certificate #6050752740 which was up to date: expiration date of 12/13/2022. LPA was provided a copy of the Certificate of Liability Insurance policy effective 2/1/2022 and expired 2/1/2023. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report left at the facility.