Facility Evaluation Report

On 09/03/2021, Licensing Program Analysts (LPA) M. Medina conducted an unannounced an Annual Required-Infection Control Inspection. LPA allowed entrance by Licensee Veronica Rickman and stated purpose of visit.

LPA conducted a tour of the facility with Licensee. All residents have private bedrooms. Facility observed to be clean and odor free. All common areas have adequate furnishings for residents and well lit. Facility observed to have all medications, locked and secured. Residents have a 30-day supply of medication available. Kitchen toured, a 2-day supply of perishable and a 7-day supply of non-perishable food is available. LPA observed all cleaning supplies to be locked and secured in garage, additional PPE on hand and available. Fire extinguisher present with a service date of 3/24/2021. Smoke detectors and carbon monoxide detectors present and observed operational during inspection.

LPA observed COVID training binder for staff, binders for daily symptoms screenings (for staff, persons in care and visitors), testing, visitation , quarantine/isolation procedures, Completed LIC 808 Mitigation Plan was submitted to Department on 04/22/21.

LPA received updated copies of LIC 500, LIC 610 and LIC 9020 and First Aid card during facility inspection.

No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed.