Routine inspection·November 14, 2022

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to the facility to conduct a required annual inspection, with an emphasis on infection control, due to the COVID-19 pandemic. LPA Bernadette Allen identified herself to Administrator, Keely Miller who was informed of the purpose of the visit. LPA Allen observed appropriate postings in the facility, including personal rights and visitation policies, which were in accordance with the department's guidelines. LPA Allen observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). LPA Allen observed that the facility staff were wearing face coverings. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases and that staff are trained in the facility's infection control measures. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for clients with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms. LPA Allen observed that the facility appeared to be meeting operational requirements. LPA Allen observed that all utilities and appliances were functioning properly, and all passageways clear of obstruction, including emergency exits. The facility was equipped with sufficient food supply and emergency supplies. All inspected areas of the facility appeared clean and in good repair. LPA Allen observed that (S1) and (S2) did not have criminal record clearance/association with facility this poses an immediate health and safety risk to those in care a civil penalty has been assessed for a maximum of 5-days. A civil penalty of $1,000.00 was assessed on 11/14/2022. An exit interview was conducted where this report, LIC 809, LIC809-D, LIC421BG and , appeal rights were discussed and provided to Keely Miller.