Routine inspection·December 15, 2021

Licensing Program Analyst (LPA) Michelle Reed made an unannounced visit to the facility to conduct an Annual visit. Upon arrival LPA met with Administrator Liz DeOcampo. The focus of the visit was Infection Control. LPA toured the facility with Mrs. DeOcampo and the following was observed: Covid signs were posted at the front entrance of facility with a sanitization station. There is currently 1 entrance in and out of the facility. LPA's temperature was taken upon arrival and a sign in sheet was available. Facility has required Department postings. Administrator Certificate for Liz DeOcampo expired 9/14/21. Ms. DeOcampo stated that she submitted for her new certificate but has not received it as of today's date. Restrooms observed contained soap, paper towels and toilet paper. Hand sanitizer, soap, wipes and gloves were present and in sufficient supply. The Licensee has at least a 30 day supply of PPE. LPA observed an outside visitation area with ample shading. Three residents were present. Social distancing and masks for staff were observed. Licensee has required Mitigation plan and Emergency Disaster Plan. Facility has emergency food and water supply. Facility has a secured storage for medication and files. All residents have at least a 30 day supply of medications. During the visit, LPA consulted with staff regarding the importance of maintaining a 30 day supply of PPE on site. Additionally, LPA advised the importance of masks and handwashing for staff. Administrator is reminded to review all PINS for updated Covid information as well as procedures for Visitation, Dining, Group Activities, Non-essential services, Outings, New Admissions and Entertainment. Facility Staff Testing and Masking Guidelines are also included in PINS. No deficiencies noted during visit. An exit interview was conducted and a copy of this report was provided to Ms. DeOcampo.