Pre-licensing visit·April 15, 2022

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 4/15/2022 to conduct a Pre-licensing inspection. LPA was greeted by staff and screened for COVID symptoms. LPA met with Health Services Director, Teresa Weerts. Facility is a two story building with assisted living and a memory care unit. LPA toured facility with health services directors. Rooms contained appropriate furnishings. Bathroom showers had the necessary grab bars and nonskid flooring. Water temperature tested at one sink accessible to clients was measured at 112.2 degrees F which is within regulation. Carbon monoxide detectors were observed as well as smoke alarms and a sprinkler system. Fire extinguishers were observed which were last inspected on 1/22/22. Toxins were locked and inaccessible to residents. Medications were also determined to be kept secured and inaccessible to residents in care. The memory care unit has a locked medication room. Assisted living has locked medication carts and central medication storage. Sufficient perishable and non-perishable food was observed in the kitchen. LPA observed licensing posters, complaint posters, an activity schedule, and ombudsman poster. There is an operating resident council. LPA conducted record review. LPA reviewed 5 resident files which included Physician's Reports, resident assessments, and admission agreements. There are two separate files for residents, a medical file and an administrative file. Admission agreements found in the administrative file. CPR and First Aid Certificates for staff are kept in a binder. 10 Current CPR certificates were observed. LPA reviewed CPR/First Aid regulation with health services director. Component III waived due to licensee operating a current licensed facility. LPA requested proof of liability insurance during inspection and application for new administrator. LPA will notify Application Unit so application process may proceed.