Routine inspection·June 17, 2021

On 6/17/2021 at 1:15PM Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an annual required inspection. LPA met with Administrator Aurora CIcai. LPA to informed Administrator the purpose of visit. Facility has census of 4. LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen patio and backyard. Facility has enough supplies of paper supplies and hygiene supplies. Medications are centrally stored in a locked area that is inaccessible to clients and refilled every at least 30 days. Facility has enough 2-day perishable food and one-week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a mitigation plan. LPA observed the following: NO gowns available during the visit – Administrator ordered supplies delivery date between 2-4 days FIT testing was not completed for all employees - Administrator will arrange another FIT testing schedule for the rest of the staffs, schedule document will be sent to LPA. Visitor sign in log was incomplete – Administrator will create a visitor log that reflects covid19 guidelines . Temperature & Covid19 screening questions was not implemented for staff and residents– Administrator will create a log for temperature & covid19 screening for staffs and residents. No deficiency cited during the visit. Exit interview conducted. Appeal Rights and copy of this report provided.