Routine inspection·April 14, 2022

Licensing Program Analyst (LPA)Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Eleanor Kairan and explained the reason for the visit. At 12:08 PM Assistant Administrator Maxine Kniazeff arrived during the visit. At 11:38AM, LPA toured the facility with Caregiver Eleanor Kairan. Facility is 5 bedroom, 2 bathroom single story home with a detached garage. Facility has 5 residents present during today's visit. LPA observed residents relaxing in the facility. Facility appears clean and sanitary. All residents 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. Facility uses a handwritten sign in/ questionnaire. Facility takes residents and staff temperatures daily and documents. LPA observed 7 day supply of emergency food with packs of water. LPA observed locked medication closet. LPA toured the outside grounds and exit gates are unlocked and self latching. Facility has a plan for covid testing residenst and staff as needed as well as a plan for isolation. LPA observed PPE in front of the facility. All staff and residents are vaccinated for Covid-19. LPA reviewed all residents files and all contained required documentation including updated emergency information. No deficiencies noted during today's visit. Exit interview conducted and a copy of this report was left at the facility