Routine inspection·October 11, 2022

On 10/11/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was properly screened by the security officer at the entrance. LPA was greeted by health services administrator, Ryan Banner and LPA explained the purpose of today's visit. LPA toured facility and grounds. 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. During the tour that was provided by the health services administrator, infection control preventionist and the assistant director of resident health services, LPA observed COVID-19 signs posted throughout the facility including the elevators, hand washing instruction is posted by the kitchen sinks (LPA reminded facility staff to post hand-washing instruction on other hand-washing stations), foot operated trash cans placed in multiple locations, hand sanitizer devices installed outside of each resident's room in the assisted living unit, PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels. The memory care unit is located on the mezzanine level. There are 7 residents in unit. Exits are equipped with 30 second delayed egresses: one is tested and operates as required. Rooms (including assisted living) are equipped with emergency call systems, which can be activated from bathrooms and bedrooms. Kitchen and food supplies are inspected. Refrigerators and freezers temperatures are inspected within required limits. Medications, toxins and sharps are stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety. First-aid kit is inspected and complete. The following updated licensing forms and information are requested to be submitted to CCLD BY 10/18/22 to update the new administrator: written letter from the Licensee appointing the current administrator for the facility, administrator certification, LIC 500, LIC 501 and LIC 308. No deficiency cited today. This report is reviewed and discussed with the infection control preventionist and the assistant director of resident health services. A copy is provided.