Routine inspection·August 9, 2021

Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Administrator, Mikayla Muehleisen (MM).The facility currently provides care for 105 total residents with 84 residents in Assisted Living unit and 21 residents in the Memory Care unit. LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with Administrator; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 2/17/2021 at the time of the visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in designated maintenance and storage closets throughout the facility. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Hot water measured between 100.4 and 125.0 degrees F which is not within Title 22 regulations of 105 to 120 degrees F in faucets used by residents. During the tour LPA observed several over the counter medications in resident R1's bedroom located within the Memory Care unit. In addition, LPA also observed a pair of scissors and three razors in R1's bedroom accessible to residents with dementia. Administrator and care staff immediately removed all medications and sharps in R1's bedroom and placed in a secured medication room (photos taken). Infection Control: Facility has submitted a mitigation program plan which has been reviewed during today's visit. The facility is currently above the 70% vaccination rate and residents with no reported or observed symptoms. Unvaccinated staff receive COVID testing once per week. Posters have been placed at the front door, and facility has a station at main entrance with an electronic sign in, hand sanitizer and other items designated for visitors and staff. Staff are screened for temperature and symptoms on a daily basis and residents are screened based on observation or as needed. Appeal Rights Given.