Routine inspection·October 11, 2021

Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility 130pm to conduct an unannounced infection control inspection/visit. Upon arriving, LPA was greeted by caregiver Kara Charchaogalyan, who allowed LPA to enter the facility; she was informed the reason of the visit. There have not been any active or past COVID cases at the facility, and staff and residents have been vaccinated. The current census is (8). LPA temperature was taken, and LPA observed the visitors sign in sheet and cleaning table, with hand sanitizer. LPA observed staff to have full mask covering. COVID-19, CDC, Department of Public Health, and Licensing postings on the walls throughout the facility. Licensee Lidush Avetian arrived at 230pm. The physical plant infection control inspection began with the caregiver Kara, who escorted LPA throughout the facility. The facility has (7) private bedrooms; with (1) room for staff, and (1) empty room, with no clients, that will be used for isolation if needed for COVID clients. All bedrooms were properly furnished, and beds were (6) feet apart. The common areas were observed to be clean, including bathrooms, with soap and towels, and hand washing signs visually posted. The food supply met Licensing requirements. LPA conducted a mitigation plan review with the Licensee, to obtain information on how the facility has implemented the department's mitigation plan. The Administrator reported to LPA, the facility has documentation of all vaccination records and other pertinent information pertaining to COVID-19, in staff and resident files. Clients are enrolled with the agency PACE, who provide day program services and transport for medical appointments, etc, ensure clients are weekly tested for COVID. Everyone that leaves the facility, is screened once they return with temperature check and must wash their hands. All new employee hires and new resident admits, will be properly screened, and provided a negative COVID test, prior to entering the facility. Licensee reported the Administrator receives the departmental emails and continues to provide and conduct training to staff in relation to COVID-19. There is currently no paid sick leave policy in place. LPA discussed with the Licensee, that even though, everyone in the facility has been vaccinated, there needs to be a sick leave policy in place for staff, that is flexible and not punitive. The Licensee informed LPA that she would begin to develop a policy and discuss with staff. The designated infection control lead is the Administrator Stella Avetyan. The facility does not have staffing issues, due to having a plan in place. PPE supplies were inspected, and supplies are kept at a storage unit, location in the back of the facility. Chemicals, cleaning supplies, paper products were observed and locked and secured. Licensee informed LPA that they continue to implement the best practices for their facility, which has kept them COVID-19 free. The facility is aware to report any changes with residents and staff to Licensing and there LPA, pertaining to positive COVID-19 cases. Exit interview was conducted and copy of report provided.