Routine inspection·August 6, 2022

On 8/06/22 at 2:51 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility listed above. LPA met with Licensee/Administrator Diana Barnhill, and explained the purpose of the visit. LPA toured the facility with the licensee and observed the following: The facility has infection control signage at the front door and signage throughout the facility on handwashing, cough etiquette and use of masks. Upon entry to the facility, LPA was screened. Staff are wearing masks. The facility has soap and paper towels in resident bathrooms and in the kitchen. The fire extinguishers (2) are located in the laundry room and kitchen. The extinguishers are fully charged and were inspected on 7/22/22. The exterior gate on the south side of the facility needs a spring or closing mechanism to auto-close the gate. Licensee will install, video the gate closing, and send the video to LPA by 8/13/22. The facility has a change in layout. The formal dining room is being changed into a resident room. The south end doorway of the room has been closed off and a door placed on the north end of the room. Licensee states she is working on getting the facility sketch changed and will get a fire clearance prior to placing a resident. No capacity change. At 3:24 pm, LPA conducted the Infection Control mitigation module with the supervisor. No deficiencies cited. Exit interview conducted and report emailed to the licensee.