Routine inspection·November 5, 2021

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Required - 1 Year Inspection at approximately 1:20 PM, and met with administrator Patrick Seawright. The inspection was focused on the Infection Control procedures and practices of this facility. Upon entry administrator screened LPA for COVID symptoms and asked LPA to sign-in on visitor sheet. At primary entrance LPA observed visitor logs and COVID screening sheets. LPA conducted walk through of the facility with administrator. Facility was a comfortable temperature and exits were free from obstructions. Mitigation plan has been submitted and reviewed by Community Care Licensing (CCL). Hand sanitizer is kept throughout the facility. Staff have completed Personal Protective Equipment (PPE)/infection control training. Administrator indicated they have received training to N95 fit test staff. High touch surface areas are disinfected daily. Facility has private bedrooms therefore clients could isolate if necessary in their own bedrooms. Facility has necessary PPE and supplies to support a resident in isolation. All staff and clients are vaccinated. Facility tests one staff a week on rotating basis. There are a total of four staff. Clients' emergency contact information has been updated and staff confirmed they are familiar with 911 procedures and protocols. Toxins are secured and inaccessible in locked laundry room cabinet and in a closet located in the bathroom. Medications are centrally stored in a locked cabinet making them inaccessible to residents. LPA requested updated copies of the following documents: LIC 308, LIC 400, LIC 500, LIC 9020, Emergency Disaster Plan, Liability Insurance, and Administrator Certificate No deficiencies observed during today's inspection.