Correction check·August 29, 2022

At approximately 2:30PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case-Management - Plan of Corrections (POC) visit and met with Administrator, Mikayla Muehleisen. LPA discussed the deficiency cited during a visit conducted on 6/2/2022. Facility had provided Community Care Licensing (CCL) with proof of invoice/repair of dishwasher. Facility provided email updates. During visit, facility provided LPA with temperature log for August 2022 which showed improvement. LPA and Administrator discussed monitoring of temperature and how facility plans on keeping temperature where it needs to be. LPA discussed the deficiency cited during a visit conducted on 7/18/2022. Facility had provided CCL with In-Service Training discussing COVID Protocol and Procedures. During visit, Administrator provided LPA with a log of frequent visitors with vaccine status. LPA discussed with Administrator the importance of checking negative COVID tests for those who are unvaccinated as stated in PIN 22-07-ASC. Facility plans to ensure compliance by implementing review of COVID tests when needed. Administrator provided plan of corrections to LPA. Deficiencies cleared during visit. No Deficiencies cited during visit. Exit interview conducted. Copy of report and POC Letters discussed and provided to Administrator. Signature on form confirms receipt of documents.