Health check·July 7, 2021

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct a Health and Safety Case Management visit. LPA was greeted by Administrator Hripsime "Kristina" Makaryan who was covering the front desk. LPA introduced self and explained the purpose of the visit. Administrator and LPA toured the facility inside and out. Required postings were observed. LPA observed staff wearing face coverings and hand sanitizer throughout the facility. LPA verified staffing, food supply, PPE, disinfecting products and paper goods. Administrator and LPA reviewed and incident involving R1 that occurred on 7/6/21. Special Incident Report (SIR) will be faxed to CCL. Two (2) additional incidents were reviewed that occurred on 7/3/21. SIRs were received by CCL 7/5/21. The incidents that occurred resulted in 911 being called by the facility. LPA requested a current resident roster as well as staff schedule. These were provided by the Administrator. LPA emailed Administrator LIC. 808. Administrator agrees to submit a Mitigation Plan no later then 7/14/2021. No deficiencies cited during this visit. An exit interview was conducted with Administrator and a copy of the report was provided.