Routine inspection·June 29, 2022

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 06/29/2022 at 10:40am. LPA met with facility Administrator Megan Miller (Admin). LPA toured the facility including medicine room, kitchen, living room, 4 resident rooms, 2 bathrooms, and designated smoking area All staff members observed to be wearing masks. Admin confirmed that all residents and staff have been vaccinated. Facility Mitigation plan has already been submitted and approved. 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. Facility water temperature observed to be 109.8*F. Fire extinguisher noted to have received inspection in May 2022. Smoke detectors observed to be fully operational. Facility observed to have 2 days supply of perishable food and 1 weeks supply of non-perishable food. Facility noted to possess a 30-day supply of PPE. Facility observed to have designated entry point. Staff took LPA's temperature, and screened for symptoms. All restrooms observed to be stoked with paper towels and lidded trash cans. Hand washing signs observed in all bathrooms. Social distancing signs observed as posted throughout facility in all public areas. No deficiencies cited during visit. This report reviewed with Facility Administrator Megan Miller and a copy of the signed report was provided.