Routine inspection·August 26, 2022

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced infection control inspection/visit. LPA was greeted by caregiver Eteri Simonyan who allowed LPA to enter the facility. Upon entering the facility, there was routine symptom screening, except for LPA to sign in the visitor book. Caregiver contacted Administrator Andy Ter-Nersesin, who was not able to attend the visit. LPA conducted mitigation review, via telephone and conducted a physical plant with caregiver Eteri. Administrator reported to LPA, that there have not been any active or past COVID cases at the facility. There current census is (6); there are (5) residents were vaccinated and (1) refused. All (4) staff are vaccinated. LPA observed hand sanitizing station, and PPE on the kitchen table. LPA observed Licensing and COVID-19 posting on the walls. The infection control inspection was conducted throughout the facility. The facility has (4) bedrooms; with (2) shared room and (2) private. All common areas were observed to be clean, including bathrooms, that had soap and towels. Hand washing signs were visible. LPA conducted a mitigation plan review with the Administrator, to obtain information on how the facility has implemented the plan. Administrator reported they regularly conduct COVID-19 surveillance testing weekly. Visitation is conducted in resident’s rooms or outside on the back patio. Administrator reported that he only allows (2) visitors at a time. Residents eat together and practice social distancing at the dining room table. There are designated rooms for potential positive COVID residents. PPE, chemicals, cleaning supplies, and paper products are stored in the garage area, which was locked and secured. LPA observed a (30) day supply of PPE, soap and paper products. LPA observed the facility has Licensing requirement for food supply. Currently, the facility has sufficient staff, and has back-up staff if needed. The facility has not had any positive COVID-19 reports for staff or residents. Administrator informed LPA that they continue to implement the best practices for their facility; which has kept them COVID-19 free. Staff have been trained and notified regarding sick and return to work policies. 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 conducted and copy of report provided.