Routine inspection·October 28, 2021

Licensing Program Analyst (LPA) Darius Wiliams conducted an unannounced Annual Visit inspection. LPA Williams met with Administrator, Jasmin Yatco, and discussed the purpose of the visit. LPA Williams toured the facility. LPA Williams observed a visitor log/temperature check, masks, and disinfection station at the front entrance. Facility has one entry and exit point. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common areas. Hand washing signs were observed in the bathrooms. LPA Williams advised the Administrator to hang following signs in the common areas; cough etiquette, recognizing symptoms, and physical distancing. LPA Williams observed a two day supply of perishable food and seven day supply of non-perishable food. Cleaning supplies and medications were observed behind a locked door. LPA Williams observed the following personal protective equipment in storage; gown,gloves, and masks. Administrator has access to face shields at a offsite location. LPA Williams observed staff training records regarding Covid-19 mitigation and infection control. LPA Williams observed all facility staff wearing masks. Resident’s files have updated emergency contact information. No deficiencies were cited. LPA Williams requested the following documents be sent to the Department by 11/4/2021; Personnel Report (LIC 500), Designation of facility (LIC 309), and Administrator Certificate. Exit interview was conducted and a copy of this report was provided.