Routine inspection·September 7, 2021

On 09/07/2021 at 8:50 am, Licensing Program Analyst (LPA) T. White contacted facility staff, regarding facility risk assessment questions. Facility staff confirmed no staff or clients have experienced symptoms within the last 10 days. At 1:05 pm, LPA T. White arrived unannounced to conduct a required 1-year annual inspection. LPA met with Administrator, Rebecca Cobb and explained the purpose of today’s inspection. LPA was allowed entry into the facility that is licensed to serve a total capacity of 80 non-ambulatory residents which 7 may be on hospice. LPA toured the facility including but not limited to apartments, bathrooms, kitchen, common area, and courtyard. All outdoor and indoor passageways are kept free of obstruction. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ bathrooms was measured at 115, 116.8 and 114.1 degrees Fahrenheit. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. LPA observed smoke detectors and carbon monoxide is interconnected with the fire department. Fire extinguisher was last serviced on 06/01/2021. LPA observed mitigation plan is complete. LPA observed 3 isolation rooms accessible to residents in care. Fire drill last conducted on 06/30/2021. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/14/2021: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan No deficiencies cited during inspection. Exit interview conducted with Administrator and a copy of report given.