Routine inspection·April 4, 2022

On 4/4/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted the health administrator, Laleen Datt. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds with facility director, Carol Blackwell. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies, PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, hand washing instruction is posted by the hand washing stations. All staff are being screened via Accushield as they enter the facility in the baseman and the security officer monitors and ensures staff is properly screened upon entering the facility. The facility has ready- to - go isolation carts set-up with PPE supplies and donning and doffing signs are posted on the isolation carts. The Environmental Services Director conducts PPE inventory counts every week and the facility orders PPE supplies according to the burn- rate calculation. Medications are locked in the medication rooms in the assisted living and the memory care units. A comfortable temperature is maintained, lighting is sufficient for comfort. The high touched areas are being disinfected 2x/shift. LPA requested for the following documents to be submitted to CCL by Wednesday 4/6/2022 - A copy of the current administrator certification, LIC308 Designation of Administrative Responsibility, LIC 309 Administrative Organization, and LIC 400 Affidavit Regarding Client/Resident Cash Resources No deficiency cited today. This report is reviewed and discussed with the health administrator. A copy is provided. On 4/4/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted the health administrator, Laleen Datt. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds with facility director, Carol Blackwell. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies, PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, hand washing instruction is posted by the hand washing stations. All staff are being screened via Accushield as they enter the facility in the baseman and the security officer monitors and ensures staff is properly screened upon entering the facility. The facility has ready- to - go isolation carts set-up with PPE supplies and donning and doffing signs are posted on the isolation carts. The Environmental Services Director conducts PPE inventory counts every week and the facility orders PPE supplies according to the burn- rate calculation. Medications are locked in the medication rooms in the assisted living and the memory care units. A comfortable temperature is maintained, lighting is sufficient for comfort. The high touched areas are being disinfected 2x/shift. LPA requested for the following documents to be submitted to CCL by Wednesday 4/6/2022 - A copy of the current administrator certification, LIC308 Designation of Administrative Responsibility, LIC 309 Administrative Organization, and LIC 400 Affidavit Regarding Client/Resident Cash Resources No deficiency cited today. This report is reviewed and discussed with the health administrator. A copy is provided. On 4/4/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted the health administrator, Laleen Datt. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds with facility director, Carol Blackwell. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies, PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, hand washing instruction is posted by the hand washing stations. All staff are being screened via Accushield as they enter the facility in the baseman and the security officer monitors and ensures staff is properly screened upon entering the facility. The facility has ready- to - go isolation carts set-up with PPE supplies and donning and doffing signs are posted on the isolation carts. The Environmental Services Director conducts PPE inventory counts every week and the facility orders PPE supplies according to the burn- rate calculation. Medications are locked in the medication rooms in the assisted living and the memory care units. A comfortable temperature is maintained, lighting is sufficient for comfort. The high touched areas are being disinfected 2x/shift. LPA requested for the following documents to be submitted to CCL by Wednesday 4/6/2022 - A copy of the current administrator certification, LIC308 Designation of Administrative Responsibility, LIC 309 Administrative Organization, and LIC 400 Affidavit Regarding Client/Resident Cash Resources No deficiency cited today. This report is reviewed and discussed with the health administrator. A copy is provided.