Routine inspection·December 7, 2022

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 12/07/2022 at 1:32pm. LPA met with facility Administrator Irish Ladwig (Admin). LPA toured the facility, including living room/dining room, kitchen, laundry room, 1 staff bedroom, 3 resident bedrooms, 2 bathrooms, back yard, and garage. All staff members observed to be wearing masks. Admin confirmed that all staff and residents have been vaccinated. Facility observed to have designated entry point. 30 day supply of PPE observed. Restrooms were stocked with paper towels. Hand washing signs observed to be in all bathrooms. Social distancing signs observed to be posted in all public areas. The facility is currently accepting visitors inside the facility, including residents' bedrooms. 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 extinguishers observed to have been purchased in March 2022. Facility carbon monoxide detector tested and observed to be in working order. Facility water temperature observed to be at 119.0 *F. No deficiencies cited during today's visit. This report was reviewed with Administrator Irish Ladwig and a copy of the signed report was provided.