Routine inspection·June 16, 2021

On 6/16/2021 at 10AM Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an annual required inspection. LPA met with staff Joyce Carter and informed the purpose of visit. LPA called Administrator Ogedi Okeigwe to inform the purpose of visit, Administrator gave permission to staff to give tour to LPA. Facility has census of 3. LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen 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 30 days. Facility has a sufficient 2-day perishable 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 sign-in policy, 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. LPA observed the following: Facility Administrator has not submitted LIC808. Insufficient PPE (gowns, n95s, face shields)- Administrator ordered supplies NO documentation for staff and residents covid19 screening NO log for daily temperature and Covid19 symptom checks Facility haven’t start FIT (N95) testing procedure Facility has NOT conducted staff training on infection prevention, symptoms, transmission and PPE use Deficiency and plan and proof of corrections were discussed with Administrator. Exit interview conducted. Appeal Rights and copy of this report provided.