Routine inspection·July 14, 2021

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Annual Inspection visit. LPA Williams met with Licensee Camalah Kopacz and discussed the purpose of the visit. Licensee reported there have been no residents admitted to the facility since 7/11/2019. LPA Williams toured the facility with the Licensee. LPA Williams observed a visitor log, temperature check, and disinfection station at the front entrance. Licensee has PPE available for future staff. The common areas can accommodate for social distancing as needed. Beds had at least 6 feet of space between them. Cleaning supplies were observed behind a locked cabinet and there is a locked cabinet designated for medication. LPA Williams observed staff training records regarding Covid-19 mitigation and infection control. No deficiency cited at this time. An exit interview was conducted and a copy of this report was provided.