Routine inspection·August 17, 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 Caregiver Rosie Isela Pena and explained the reason for the visit. Administrators Nayehi Reyes and Juan Reyes arrived during the visit. At 11:30 AM, LPA toured the facility with Administrators. Facility has 6 residents during today's visit. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident's rooms had the required elements as well as restrooms stocked with soap/ sanitizer. LPA observed the screening/ sanitizing station in the entrance of the facility. Visitors are screened with temperature taking and a questionnaire. Facility takes resident temperatures daily and documents. Facility has covid precaution postings as well as all required department postings. Facility has completed the mitigation plan and is pending approval. LPA observed adequate emergency food and water supply as well as the first aid kit which contained all required items. Facility has all required items of PPE on site. LPA toured the outside grounds and observed ample shaded outside visitation areas. Exit gate is 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. All staff and most residents are vaccinated for Covid-19. LPA reviewed all resident files and all contained emergency information as well as required department forms. No deficiencies noted during today's visit. Exit interview conducted and a copy of the report was left at the facility.