Routine inspection·March 14, 2022

Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an unannounced infection control inspection/visit. LPA was greeted by caregiver Vartanosh Baghdasarian who allowed LPA to enter the facility. Administrator Vilbert Keshishi was contacted and arrived shortly after. LPA informed them the reason of the visit. The current census is (4), and (2) staff and (3) residents have been vaccinated; only (1) resident has received the booster. LPA observed hand sanitizing station, and visitor sign in book at the front door. LPA observed Licensing COVID-19 signs throughout the facility. The infection control inspection was conducted with the Administrator. The facility has (4) bedrooms; with (3) shared room and beds were kept (6) feet apart. All common areas were observed to be clean, including bathrooms, that had soap and towels. There were hand washing signs observed at the kitchen sink and all bathrooms. LPA conducted a mitigation plan review with the Administrator, to obtain information on how the facility has implemented the plan. Administrator reported they continue weekly COVID testing. Daily temperature for residents is performed daily. Visitation is conducted outside on the backyard patio. Residents eat together and practice social distancing at the dining room table. Administrator informed LPA, he received the PINs from the department, and conducts training to staff in relation to COVID-19. There are designated rooms for potential positive COVID residents. PPE, chemicals, cleaning supplies, and paper products were observed. LPA had a discussion with the Administrator, who stated, he has back-up staff if needed. Administrator informed LPA that they continue to implement the best practices for their facility. 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 and copy of report provided.