Routine inspection·December 27, 2021

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Infection Control Inspection. LPA met with Designee/Administrator Susan San Juan. LPA entered through the central entry point where health screening was conducted. Visitor policy, PPE and sanitizer was observed in the entryway. Infection control procedures which were observed or reviewed by LPA include: Daily symptoms screenings (for staff, residents and visitors), testing, visitation , quarantine/isolation procedures, staffing, PPE and daily infection control procedures. All 6 residents and live in staff are fully vaccinated, including boosters. LPA toured the facility inside and out. LPA observed locked/inaccessible pool. Required postings as well as Covid-19 and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Facility has designated visitation areas available. LPA observed 30-day resident medication as well as PPE supply. Common and resident bathroom sinks are stocked with liquid soap and towels washing. The following forms requested to be updated and submitted to LPA by 1/5/2022: LIC 308, 309 610, 500, 9020A, a copy of current Liability Insurance, No deficiencies cited for Infection Control Annual Inspection.