Routine inspection·July 6, 2021

Licensing Program Analysts (LPA), Angela Elliott and Erik Gonzalez Campos arrived unannounced to conduct an Annual inspection at approximately 1:05 PM, and met with administrator Joseph Hansen. The inspection is focused on the Infection Control procedures and practices of this facility. Upon entry LPAs were screened for COVID symptoms and asked to sign in by S1. At primary entrance LPAs observed temperature logs and visitor sign-in sheet. LPAs conducted walk through of the facility with administrator and observed COVID postings throughout. Mitigation plan has been submitted and approved by Community Care Licensing (CCL). Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Per administrator, updated infection control guidelines and PINs are communicated to residents and responsible parties through email. Staff have not completed Personal Protective Equipment (PPE) or infection control training. Staff have not been N95 fit tested. High touch surface areas are disinfected daily. Due to current facility census, residents could isolate in their own rooms if they became ill. LPAs confirmed administrator has necessary PPE equipment and supplies to support a resident in isolation. Residents' emergency contact information has been updated and administrator confirmed staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible in locked laundry room. An adequate supply of medications are stored in a locked cabinet, making them inaccessible to residents. The facility has a sufficient supply of Personal Protective Equipment (PPE) and hygiene supplies located in outdoor shed. All exit alarms on exit doors were working properly. Facility is conducting COVID-19 surveillance testing per CCL guidelines. Continued on LIC 809C Facility is allowing residents to have meals in the dining room and furniture is set up for social distancing. Common areas are also set up for social distancing. LPAs and licensee discussed resident activities which include puzzles, games, crafts, walks, movies and music. Visits are occurring both inside the facility as well as on the outdoor patio area. Administrator indicated facility is no longer screening residents, LPAs had discussion regarding mitigation plan. If administrator chooses to modify mitigation plan, LPAs requested he submit it to CCL for review. LPAs had discussion regarding face covering to minimize the risk of COVID-19 as outlined in PIN 21-17. LPAs requested following documents: Liability Insurance LIC 500 Current administrator's certificate Emergency Disaster Plan No deficiencies cited during this inspection