Routine inspection·November 29, 2021

On this day Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and was granted entry into the facility by Administrator Ngoc Mai. LPA Tirre explained the reason for the visit. During the visit LPA toured the facility with Administrator, Facility is a 6 bedroom (4 resident rooms 2 staff rooms) and 2 bathroom single story home. There are 2 Clients in care. LPA observed proper covid signage at front entrance of facility. Facility has required Department postings. LPA toured resident rooms, all rooms had beds, closet space, dresser and working lights . Facility has 2 restrooms, 1 which is currently not in use and is under construction. The other restroom had working water basin, toilet, toilet paper, soap and hand towels. Residents were observed relaxing in living room watching TV. Facility has supplies of PPE but not 30 days supply, LPA reminded Administrator of Department guidelines. Facility has food supply of perishable and non perishable foods. Facility has a secured location for Resident medication and files. Facility does not have a 30 days supply of medications for Residents. LPA reviewed Residents files during visit. Residents Emergency contact Information is current. An exit interview was conducted with Administrator and copy of report was left at facility.