Routine inspection·August 27, 2021

Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Infection Control Inspection on this date. LPA met with Executive Director Dave Shellhamer and stated the purpose of the visit. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed. Bedrooms are single occupant. Facility has a 30-day supply of medications. Cleaning and PPE supplies were checked. Staff records were reviewed for good health and infection control training. Facility staff was observed with mask on. Residents wear masks when away from the community. Resident’s files have updated emergency contact information. Administrator certification is current. Fire extinguishers present throughout community with a service date of 7/30/2021. Water temperature set at 115 degrees F. Food supply is adequate with food deliveries recieved 3x per week. No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed. Report was signed.