Routine inspection·February 3, 2022

On February 3, 2022, at 1pm, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived to conduct an Annual Inspection. LPA met with Margie and Cindy the Licensee, and informed her of the reason for the visit. Prior to the inspection, LPA completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19, contacted licensee and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and a Mask was worn for Personal Protective Equipment (PPE). Additionally, LPA was screened by staff upon arrival. Cindy,the Administrator and LPA completed the inspection tool questionnaire with no issues or advisories to report. LPA observed the following: Administrator certificate is valid expiring . First aid kit fully stocked and ready for emergency use. Fire extinguishers fully charged. Common areas were clean and in good repair. Bedrooms had required furniture and lighting. Facility has required (2) day perishable supply of food and (7) supply of non-perishable food. Medication was properly stored and locked away. As a result of this visit, no deficiencies were cited, per Title 22 Regulations, Division 6 See 809 -C... The administrator shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610D the Emergency Disaster Plan, and copy of current Liability Insurance to update the facility file in our Regional Office. Administrator shall submit the listed documents to Licensing later than March 3, 2022. Exit interview conducted and a copy of this report given to Cindy.