Routine inspection·December 9, 2022

Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Ariana Villapudua and discussed the purpose of today's visit. This is a Continuing Care Retirement Community (CCRC) which consists of Assisted Living (Oak Tree Lodge), Memory Care (Taylor Villa), Assisted Living (Harrison Villa) and Independent Living. The Oak Tree Lodge has a capacity of 70 Residents (private rooms) and is currently housing 58 Residents. Taylor Villa has a capacity of (10) Residents (private rooms) and it currently houses (10) Residents. Harrison Villa has a capacity of (10) Residents (private rooms) and currently houses (8) Residents. The following were observed/inspected: . COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility and throughout the facility. Signs to promote hand washing, cough/sneeze etiquette, and physical distancing were observed. Signs on putting on and removing PPE supplies were posted in front of Residents bedroom entrance doors. PPE supplies observed. Medication reviewed for Resident #1 through Resident #7 (R-1 through R-7) Per Assistant Director, (75) Residents are fully vaccinated (including boosters) and (1) Resident has both vaccines and not the booster (resident refused the booster). Per Assistant Director, all Staff are fully vaccinated. Sufficient supply of perishable for 2 days and non-perishable foods for 7 days observed. Each location has a "satellite kitchen" and there is a main cafeteria on campus as well. Staff responsible for direct care and supervision were observed wearing masks. Exit interview conducted, a copy of this report and Appeal Rights were provided to Ariana Villapudua. Note; LPA was experiencing technical difficulties during today's visit.