Routine inspection·September 21, 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 Aida Martires and explained the reason for the visit. Administrator Martires has a current administrator certificate expiring on 03/23/2023. At 10:00 AM, LPA toured the facility with Administrator Martires. Facility has 4 residents in care during today's visit with 2 residents on hospice care. 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 single occupancy. 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 and staff temperatures daily and documents. Facility has covid precaution postings as well as 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 multiple outside visitation areas. Exit gates are unlocked and self latching. 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. Most residents and staff are vaccinated for Covid-19. Facility is conducting surveillance testing on staff. LPA consulted with Administrator regarding the size of the "Let Us Know" poster. Facility to enlarge poster to 20" x 26" and re-post in facility. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.