Routine inspection·March 2, 2022

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Infection Control Inspection. LPA met with Caregiver Tess Adille and Administrator Alex Babkahani (AD) arrived shortly after. LPA entered through the central entry point where temperature was taken. Infection control procedures which were observed or reviewed by LPA include: Daily symptoms screenings (for staff, residents and visitors), testing, visitation requirements , quarantine/isolation procedures, staffing, PPE and daily infection control procedures and vaccination requirements. All 6 residents and staff are fully vaccinated and boosted. LPAs toured the facility inside and out. 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 and PPE supply. Bathroom sinks are stocked with liquid soap, hand washing signs observed. AD has agreed to revise daily Health Screening for staff, residents and visitors and submit a copy to LPA. by 3/11/22. No deficiencies cited during today’s visit. A copy of this report was provided and an exit interview was conducted with AD.