Routine inspection·August 24, 2021

On 8/24/2021, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Administrator, Janet Spires. LPA explained the purpose of the visit and LPA was screened at the front entrance. 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 (facility will convert one room for isolation), PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, and hand washing instruction is posted by the hand washing stations. Signs are posted through-out the facility. Trash cans are observed to have foot operated lids. All beds are at least 6" apart from each other. Facility has designated a staff member to care for residents who are in quarantine/isolation. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kits are inspected and complete. There are 6 residents, 2 staff members, the Administrator and the Administrator's son present during the inspection. No deficiency cited today. This report is reviewed and discussed with the Administrator and a copy is provided.