Routine inspection·August 17, 2021

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted, filled out covid survey, temperature checked upon arrival and granted entry into the facility by Staff and explained the reason for the visit. During the visit LPA toured the facility with Administrator Nayehy Reyes. Facility is a 6 bedroom,( 5 resident bedrooms 1 staff bedroom) and 4 bathrooms single story home. There are 4 Residents in care. LPA observed proper covid signage at front entrance and throughout facility as well as a sign in, sanitization and temperature check station. Facility has required Department postings. LPA observed copy of Administrators Certificate expiring August 19, 2021. LPA toured all Residents rooms, all rooms where within regulations. All restrooms observed contained soap, toilet paper, paper towels and gloves. Restrooms had proper hand washing signs posted. Residents were observed relaxing in the dining room eating and relaxing in bedrooms. Facility has audible alarms for each sliding door entrance/exit. Facility has 1 fire extinguisher which was fully charged. Facility has ample supply of PPE. Facility has 2 refrigerators with ample food supply. LPA observed facility has emergency food and water supply. Facility has required Emergency Disaster Plan posted on wall. Facility has a secured location for resident medication and files. Facility has 30 days supply of medications for Residents. Residents emergency contact information are current. Facility has several designated visitation areas. No deficiencies noted during todays visit. An exit interview was conducted with Administrator Reyes and a copy of report was left at facility.