Routine inspection·January 25, 2023

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 01/25/2023 at 02:27pm. LPA met with facility Administrator Hiro Kitamura (Admin). LPA toured the facility, including living room, kitchen, dining room, laundry room, 5 bedrooms, 2 bathrooms, back patio, front yard, office, and medicine room. All staff members observed to be wearing masks. Admin confirmed that all staff and residents have been vaccinated. Facility infectious control plan has already been submitted. No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizers, soap, and paper supplies were observed to be available. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Fire extinguisher observed to be inspected in September of 2022. Smoke/carbon monoxide detectors tested and observed to be operational. Facility observed to have designated entry point. Staff took LPA's temperature and screened for symptoms. 30 day supply of PPE was not observed. Water temperature observed to be 109.4 *F. Facility temperature observed to be 72*F. Hand washing signs observed in all bathrooms. Social distancing signs observed to be posted in all public areas. No deficiencies cited during today's visit. This report was reviewed with Administrator Hiro Kitamura and a copy of the signed reported was provided via email due to printer error.