Routine inspection·October 22, 2021

Licensing Program Analyst (LPA) Norman Woodridge conducted a Covid-19 Annual Inspection at the facility. Upon arrival, LPA signed in and completed a temperature check. LPA met with Administrator, Myla Mach, informed AD of the purpose of the visit, and conducted a tour of the inside and outside of the facility, common areas, kitchen, bedrooms, bathrooms, and garage. LPA discussed and observed the following: LPA observed Covid-19 station with sign in sheet, hand sanitizer, and disinfectant wipes. The facility also requires temperature checks for all visitors and staff. LPA observed a 2-day supply of perishables and a 7-day supply of nonperishables. LPA observed PPE and hygiene products in the garage. Hallways and walkways were free from obstruction. LPA discussed Covid-19 Mitigation Plan and reviewed Covid-19 temperature log for staff and residents. LPA discussed updated Covid-19 requirements including surveillance testing, signage, PPE requirements, and Covid-19 reporting requirements. LPA discussed PIN 21-40 ASC: Updated Statewide Visitation, Waiver, and Testing and Vaccination Verification Guidance for Visitors Related to Coronavirus Disease 2019 (Covid-19). No deficiencies were noted during the inspection. An exit interview was conducted with AD and a copy of this report was provided.