Routine inspection·July 12, 2022

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Maria Chengcunga, Med Tech and Business Office Manager Krystie Kim and explained the purpose of today's visit. LPA Also met briefly with Administrator Nonna Shapiro. Cettificate expires 06/18/23 Last fire drill was 05/24/22 This is an RCFE with a capacity of 199. This is a 3-story building which consists of 98 resident bedrooms, large living room, large dining room, activity room, TV room, wellness center, office and conference room. 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. · Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. · Facility has (3) designated isolation are rooms on 1st floor and (3) on the 2nd floor available if a COVID-19 positive case should arise. · 4 (Four) resident's medications were reviewed. · PPE supplies observed. Hygiene supplies observed. Incontinence supplies observed. · Staff responsible for direct care and supervision were observed wearing masks. · Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed (including paper goods, utensils ect). · Residents were socially distanced according to local public health guidelines. There are deficiencies noted. Please see (809D) for details. Exit interview conducted, a copy of this report and Appeal Rights were provided to Kyrstie Kim