Routine inspection·July 8, 2021

On 07/08/2021, Licensing Program Analyst (LPA) L. Salazar and Program Clinical Consult (PCC) , Lori Kopplinger, arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. LPA met with Administrator, Olivia Oblea. Facility has one entry/exit point. Visitor log-in/temperature check observed at the entrance of the facility. Staff was observed wearing masks. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathroom did not have a trash cans with lid. Signs promoting social distancing, cough/sneeze etiquette, and hand-washing were not observed. 4 out of 5 Bedrooms were single occupant during this inspection. LPA checked residents’ locked medications. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility has a 30 day supply of required PPE. Staff records were reviewed for good health and infection control training. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed and an electronic signature confirms receiving this document. Facility Representative signature on file.