Routine inspection·June 23, 2021

Licensing Program Analysts (LPA), Dina Alviso and Karen Lopez. LPA's are conducting an 1 Year Inspection, on 6/23/2021 at approximately 2:40pm and met with Administrator David Hanna, and Resident Care Coordinator Karrie Hanna. The inspection is focused on the Infection Control procedures and practices of this facility. Currently thirteen (13) residents in care, and two (2) residents on Hospice. Facility specializes in dementia care. Hospice care waiver approved for eight (8) residents. Mitigation plan submitted and approved by the Department on 3/3/21. Fire clearance approval is for twenty-eight (28) non-ambulatory. The Fire Department was out 1/26/21 and did the annual fire inspection; Facility was approved by the fire department, 1/26/21. Fire extinguishers are currently serviced and tagged as required- expires 7/16/20. Administrator stated that he will be getting them re-serviced as required. Pandemic policies are in place. All visitors are screened upon entering the building; All visitors have their temperatures taken and answer all screening questions. Residents are screened daily, and observed for any changes. Toxins are stored inaccessible and in care. Medications are stored locked making them inaccessible to residents and staff that do not handle medications. The facility has a large sufficient supply of personal protective equipment (PPE). Administrator and Resident Care Coordinator were wearing masks when LPA's arrived and during the LPA's inspection. Administrator stated that the facility is following and operating in compliance with their approved mitigation plan, and in compliance with title 22 regulations as required. No deficiencies cited today. Exit interview conducted with Administrator David Hanna.