Routine inspection·December 7, 2021

Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an unannounced infection control inspection/visit. Upon entry, LPA was greeted by caregiver Johnson Berce, who allowed LPA to enter. There have not been any active or past COVID cases at the facility, and all staff and residents are vaccinated and scheduled for the booster shot December 14, 2021. The current census is (5). LPA’s temperature was immediately taken and documented; a list of COVID-19 questions was asked; and LPA signed in the visitor book. LPA observed staff and residents to have full mask covering; a hand sanitizing station; PPE supplies at the front door. COVID-19, CDC, Department of Public Health, and Licensing postings on the walls. LPA requested Administrator to more signs; including the bathroom. The infection control inspection began with the Administrator Emiliano. The facility has (4) bedrooms; (3) are private, and (2) are shared. Beds were kept (6) feet apart. All bedrooms were properly furnished. The common areas were observed to be clean, including bathrooms, with soap and towels. LPA conducted a mitigation plan review with the Administrator, to obtain information on how the facility has implemented the plan. The Administrator reported to LPA, that all staff and residents will receive the booster shot on December 14, 2021. There is currently no surveillance testing, due to everyone being vaccinated and will obtain the booster. If anyone displays symptoms, a hospice agency will conduct COVID testing for the facility. All new employee hires and new resident admits, must be properly screened, and obtain vaccination prior to employment and new admit. Administrator continues to conduct training to staff in relation to COVID-19. Administrator reported the facility receives departmental emails; who forwards them to staff to read. There is currently a paid sick leave policy in place. Staff who are positive, will quarantine at a hotel; paid by the Administrator, along with there salary. There are designated rooms for potential positive COVID clients. PPE, chemicals, cleaning supplies, emergency food and water, personal hygiene supplies, and paper products are stored in the garage area. LPA observed a sufficient supply of all items during the visit. LPA observed the facility has Licensing requirement for food. Currently, the facility has sufficient staff, and has back-up staff in place if needed. Visiting policy is conducted outside and inside; the Administrator prefers non-vaccinated to conduct visiting outside in the patio area. Majority of visitors have been vaccinated. The facility has not had any positive COVID-19 reports for staff or clients at the facility, since the pandemic. The Administrator 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 clients and staff to Licensing and there LPA, pertaining to positive COVID-19 cases. Exit interview was conducted with Administrator.