Routine inspection·September 8, 2022

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 09/08/2022 at 1:47pm. LPA met with facility Administrator Irish Ladwig (Admin). LPA toured the facility, including living room/dining room, kitchen, laundry room, 2 staff bedrooms, 5 resident bedrooms, 3 bathrooms, back yard, and garage. Staff members were not observed to be wearing masks upon LPA arrival. Admin confirmed that all staff and residents have been vaccinated. Facility observed to have designated entry point. Staff took LPA's temperature and screened for symptoms. 30 day supply of PPE observed. Restrooms were not stoked with paper towels. Hand washing signs observed to be in all bathrooms. Social distancing signs observed to be posted in all public areas. 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 inspected in March of 2022. Facility carbon monoxide detector tested and observed to be in working order. Facility water temperature observed to be at 119.7 *F. No deficiencies cited during today's visit. Advisory notes issued. This report was reviewed with Administrator Irish Ladwig and a copy of the signed report was provided.