Routine inspection·June 1, 2021

Licensing Program Analysts (LPA) Elizabeth Irra conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPAs met with Nirjara Acharya) and explained the purpose of the visit. The following were observed/inspected: COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, in all common rooms and hallways. PPE supplies were observed (Approximately 30 day supply). Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed. Facility has designated isolation area rooms available if a COVID-19 positive case should arise (total for 4 rooms-LPA toured). Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. Staff responsible for direct care and supervision were observed wearing masks. Clients were socially distanced according to local public health guidelines. Facility continues to conduct weekly COVID-19 surveillance testing at 25% of staff and 25% of Residents. Last testing was conducted on 05/25/2021- All results were negative. Next testing is scheduled for today, 06/01/2021. There are no deficiencies noted. Exit interview conducted, a copy of this report and Appeal Rights were provided to Executive Director.