Routine inspection·July 16, 2021

Licensing Program Analysts (LPA) Erik Gonzalez Campos and Victoria Willis conducted an unannounced Required – 1 Year inspection and were greeted by reception. LPAs met with director of resident health care services, Sharon Shnell-Hobbs There are currently 24 residents in assisted living and 9 in memory care. LPAs toured assisted living and memory care beginning at 9:00 AM. The facility was found to be clean and a comfortable temperature. There was an ample supply of linens, cleaners, hygiene products and paper products available for residents. Toxins were inspected and are located in locked housekeeping carts as well as in closets throughout the building. LPAs observed the necessary personal protective equipment (PPE) to support a resident in isolation. All bedrooms are private therefore residents could isolate in their own bedroom if necessary. Resident's bathrooms contain necessary grab bars and non-slip floors/mats. Hand sanitizer was observed in resident bedrooms and throughout the facility. Medication is centrally stored in locked cabinets. Bedrooms are equipped with lighting and proper bedding that is clean and in good repair. Staff were observed to be wearing KN95 masks. Staff confirmed they were N95 fit tested as well as having been given infection control training by local public health. Facility has a 100 percent vaccination rate for staff/residents in assisted living/memory care and has therefore discontinued surveillance testing. LPAs observed caution tape on doors in assisted living/memory care. It was explained that this was a precautionary measure to dissuade staff/residents from other parts of the facility passing through to the other side of the facility. Caution tape does not prevent residents in assisted living from exiting building. Residents are screened daily for COVID symptoms. Mitigation plan was reviewed and signed during visit. Due to new guidance LPA requested facility update mitigation plan regarding visitation. Continued on LIC 809C Current visitation policy is to have visitors screened and sign in by security at the main entrance. Upon arrival to the facility LPAs were waved in without screening. LPAs were not screened until entering assisted living/memory care. This was discussed with Sharon Shnell-Hobbs and guidance was provided to be diligent about screening. Fire extinguishers were last inspected January 20, 2021. Facility has current emergency disaster plan. Last emergency drill was conducted on July 12, 2021. No deficiencies cited during this inspection