Routine inspection·August 31, 2021

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Administrator Olga Moreno and explained the reason for the visit. Administrator Olga Moreno has an administrator certificate expiring on 03/07/2022. Administrator Cristo Forero arrived during the visit. At 1:25 PM, LPA toured the facility with Administrator Moreno. Facility has 4 residents in care during today's visit with one on hospice. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms had the required elements as well as restrooms stocked with soap/ sanitizer. All rooms are double occupancy and staff rooms are located on the second floor. Facility screens all visitors to the facility and LPA observed the screening/ sanitizing station in the facility. Facility utilizes a visitor sign in sheet. Facility takes resident temperatures daily and Administrator provided proof of documentation. Facility has covid precaution postings as well as all required department postings. LPA observed the first aid kit has all required items. Facility mitigation plan has been approved. LPA observed an ample supply of emergency food and water. LPA toured the outside grounds and observed the shaded outside visitation area. Exit gate is unlocked. LPA observed the locked medication storage area. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPA reviewed four resident files during the visit and all files are up to date including emergency information. All residents and staff are vaccinated for Covid-19. Facility conducts covid surveillance testing for staff monthly. LPA consulted with Administrator regarding the importance of covid symptom signage outside the facility as well as keeping an ample supply of PPE on-site. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.