Routine inspection·September 9, 2021

Licensing Program Analyst (LPA) Angelica Arambulo conducted an unannounced required annual visit. LPA was greeted by Nick Yegeyan. The current census is 5 resident. Purpose of the visit was given to Nick, and LPA was screened at the door for temperature and questioned about any Covid symptoms. The facility has visitation signs on the front door along with Covid 19 information. The sample questionaire for screening needed o be updated along with the Covid signs. The mitigation plan was hanging on the board along with required signs such as emergency disaster plan, staff schedule, theft and loss plan. All bathrooms had hand washing signs and each resident appeared well groomed. Upon LPA review of the hard copy mitigation plan there was no approved signature. Nick stated that he did get the approval and just could not find the one in his email. The back house to this lot is also a licensed facility with an approved plan. He showed LPA their approved mitigation plan. Nick and his sister are administrators. LPA conducted a tour of the facility to check on residents. The LPA will have to check back at the office to see if an approved mitigation plan is on file. He did have the one for ST Marys which is the back house. They were approved together. Upon checking the administrators email it was discovered we did not have the correct email. LPA will follow through and update the records.