Routine inspection·October 4, 2021

Licensing Program Analyst (LPA) James Sampair conducted an infection control annual inspection and explained the purpose of the visit with Administrators Gliceria Magat and Maria Christina Elazegui. LPA observed all staff wearing face masks during the visit. Maria Christina Elazegui is the designated Infection control leader. LPA discussed the mitigation plan with them, as well as their current COVID-19 infection control practices. They have conducted staff training on infection prevention, symptoms, transmission, as well as the proper donning and doffing of PPE. All of the staff and residents were fully vaccinated. LPA inspected the facility inside and outside. LPA observed screening station located near the front entrance with a digital visitor's log, hand sanitizer, face masks, and a no-touch temperature probe. Routine symptom screening (+/-) temperature and symptom check is done at entry for all staff, residents, and visitors. LPA observed COVID-19 signs posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff and residents. Pathways were observed to be free of obstruction and fire hazards. There were sufficient food and water supplies in the kitchen refrigerators/freezers. Emergency paper and PPE supplies were observed. Facility room temperature was maintained at a comfortable temperature and the water temperature was in the acceptable range. A certified administrator is on site at all times to oversee proper business operation and compliance with COVID-19 infection control practices. Fire extinguishers were observed fully charged and last inspected in June 2021 and the Smoke and Carbon monoxide detectors were fully operational. LPA observed two citations that have been written up on the LIC809-D for 1 Type A and 1 Type B deficiencies that were both corrected before the LPA left the facility. Exit interview conducted and a copy of this report and copies of the Appeal Rights were provided.