Routine inspection·January 31, 2023

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 01/31/2023 to conduct a Required-1 Year inspection. This inspection is focused on the infection control practices and procedures of this facility. LPA met with administrator, Matthew Horstmann. Facility has both independent living and assisted living. There are currently 26 residents in assisted living. LPA toured building and grounds which were clean and in good repair. Exits and walkways were clear from obstructions. Facility is screening visitors and staff at the front entrance. Facility has a sufficient amount of personal protective equipment to support a resident in isolation. Facility has conducted infection control training with staff. Staff and residents are fully vaccinated and boosted. Facility had a sufficient amount of perishable and nonperishable food. Carbon monoxide and smoke detectors were observed throughout the facility. Fire extinguishers scheduled to be serviced in February. Toxins were observed locked and secured on housekeeping carts. Medications are centrally stored and secured. LPA is requesting the following documents be submitted to Community Care Licensing within 30 days of today's inspection: LIC 308 Designation of Facility Responsibility LIC 610 Emergency Disaster Plan Evidence of Liability Insurance Exit interview conducted with administrator and a copy of this report sent to his email. No deficiencies cited during today's inspection.