Routine inspection·October 31, 2022

Licensing Program Analyst (LPA) Tuesday Cabiness conducted 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 (10). LPA observed the visitors sign in sheet and cleaning table, with hand sanitizer. Licensee Lidush Avetian was contacted, but not able to attend the inspection. She was informed the reason of the visit. . 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. Kara reported to LPA, currently there are only (4) clients that are vaccinated, and the remaining (10) refused. All staff, including Administrator and Licensee are vaccinated; no-one has received the booster. 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. Facility will continue to practice, all new employee hires and new resident admits, will be properly screened, and provided a negative COVID test, prior to entering the facility. The designated infection control lead continues to be the Administrator Stella Avetyan. The facility does not have staffing issues, due to having a plan in place. 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, since the beginning of the pandemic. 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.