Routine inspection·July 12, 2021

On 07/12/2021, Licensing Program Analyst (LPA) arrived unannounced to conduct an Annual Inspection. LPA introduced self, disclosed the purpose of the visit and met with Administrator (ADM), Irina Chernyakova. Facility has one central entry and exit point. Visitor log-in observed. There are currently no residents residing in the facility and there are no staff present. Per ADM, the facility is closed. Facility tour conducted with ADM. All pathways, entrances and exits were clear from obstructions. No fire clearance issues. LPA observed signs promoting social distancing, cough/sneeze etiquette, and hand-washing. Hand-sanitizer is available for residents and visitors. LPA checked food supply, observed a 7-day supply of non-perishable foods. Facility has an adequate supply of cleaning supplies. ADM certificate is current. No deficiencies were observed. Exit interview was conducted. ADM was informed that as a COVID-19 precautionary measure, a copy of this report will be provided via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.