Routine inspection·September 9, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with House Manager Tracy Varnell and Administrator Dylan Hull and explained the reason for the visit. The LPA toured the facility to ensure there are no health and safety hazards and to ensure compliance with regulations. KITCHEN : Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS : Bedrooms had appropriate furniture, clean linens and sufficient lighting. Rooms were clean and clear of obstructions. Both the single-occupancy resident rooms and staff rooms were observed. RESTROOMS : The three restrooms were clean and sanitary with grab bars and non-skid surfaces. Water temperature measured at 105.1 F. Restrooms were stocked with soap and paper towels. Hand-washing signs were observed in all restrooms. COMMON SPACES : The facility maintained a temperature of 74 degrees. Medications, staff and resident files are locked inaccessible. Fire extinguishers were fully charged. The backyard and exterior area of the facility had furniture and a covered area for resident use. No obstructions observed in the exterior or interior. No bodies of water noted. INFECTION CONTROL : There is a central entry point for screening and temperature checks. Staff were wearing appropriate face coverings. Signs were posted that promoted good hand hygiene, physical distancing, and cough/sneeze etiquette at the front door and the entrance. The facility’s cleaning protocol is sufficient. There is record of staff and resident vaccinations. The facility can designate a room to isolate persons if there is a confirmed case of COVID-19. Staff are up to date regarding guidelines around visitation and vaccine requirements. The policies and procedures pertaining to infection control were adequate. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.