Routine inspection·March 6, 2023

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with administrator Rajveer Kaur during today's inspection. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. LPA toured facility with caregiver to ensure health and safety of residents in care. LPA toured 4 resident rooms, storage rooms, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. Administrator stated there has been no positive COVID cases at the facility, but have an isolation room and sufficient amount of PPE. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 2 of 4 resident files and 2 staff files. LPA reviewed medications of two residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. LPA observed a copy of current liability insurance. Deficiencies were cited during today's inspection. Refer to 809-D. Exit interview conducted.