Routine inspection·January 26, 2023

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with Administrator (ADM) .Irish Ladwig . Upon Arrival, ADM took LPA's body temperature, and checked LPA in the visitor log book. LPA observed the COVID posters in the facility. Two staff and six residents were observed in facility. LPA toured the facility with ADM inside and out. LPA inspected living room, kitchen, dinning area, 2 reading rooms, and laundry room. There are 6 single rooms for residents, and one staff live-in room in facility. 3 bathrooms were inspected. All trash cans were observed with covers. All paper towels were observed with holders. Posters of washing hands for 20 seconds were observed by the sinks in kitchen and restrooms. Two days perishable foods and seven nonperishable foods were observed sufficient. Fire extinguisher's service date was observed on 1/06/2023. Room temperature was observed at 71 degree F. Hot water was observed at 112 degree F. Medication cabinet, Knife closet, and cleaning products closet were observed locked. PPE supplies were observed sufficient. Smoke dictators were tested and were working fine. Front yard and back yard were inspected. No obstruction was observed to block the walkway. ADM stated all the residents and staff are fully vaccinated and done with booster shots. ADM already submitted Infection Control Plan to CCL office. No citation was issued today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.