Routine inspection·May 19, 2021

Licensing Program Analysts (LPA's) Jenifer Tirre and Kimberly Lyman made an unannounced visit to facility to conduct an Annual visit. LPA's introduced themselves and discussed the purpose of visit. During the visit LPA's toured the facility. Facility is a 7 bedroom and 4 bathroom single story home. There are 4 Residents in care. LPA's observed proper covid signage at front entrance of facility as well as sanitization station. Facility has required Department postings. LPA's observed copy of Administrators Certificate expiring 01/27/23. LPA's toured all residents rooms, all rooms appeared clean and sanitary. All restrooms observed contained ample supplies of hand sanitizer, soap, wipes, gloves and paper towels. LPA's observed two outside visitation areas with ample shading. Residents were observed relaxing in the Living room. Facility has required Mitigation plan and Emergency Disaster Plan posted. LPA's observed ample supply of Emergency food and water supply. Facility has a secured location for resident medication and files. During the visit, LPAs consulted with Administrator regarding the importance of maintaining a thirty day supply of PPE onsite. Additionally, LPAs discussed sign in and screening procedures with Administrator. LPAs advised the importance of mask wearing for staff at all times. No deficiencies noted during todays visit. An exit interview was conducted with Administrator Cotilia Dahabreh and a copy of this report was left at facility.