At 12:00 p.m. a physical tour was initiated with designee. This is a 5-bedroom, 2.5-bathroom facility. Infection control: Upon arrival, staff took LPA’s temperature, but was not asked to sign-in the visitor’s log. LPA reminded staff and designee to ensure all visitors are asked to sign in. Proper signage was observed inside along the hallway but was no signs were observed posted outside the facility. LPA reminded designee to ensure infection control signs are posted outside the facility. LPA observed sufficient PPE supplies for residents and staff. Food Inspection: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Sharps are kept inaccessible to residents. Medications are in a centrally stored and are kept locked in a cabinet along the hall. Smoke detectors/carbon monoxide were located throughout the facility and appear to be functional. Fire extinguisher was last serviced on 5/7/21. Resident rooms: There are 4 bedrooms designated for residents. All bedrooms are properly furnished, have appropriate bedding, and linens. Bathrooms: LPA observed bathrooms had trash cans with closed tight-fitting lids. Soap and paper towels were readily available. Outside areas: LPA toured the outside area of the facility. LPA did not observe a covered shaded area with seating for residents. LPA asked that photographic evidence of a covered shaded area with seating be provided no later than 4/13/22. There are no bodies of water.

No deficiencies observed at this time. Exit interview conducted and report signed and delivered.