Routine inspection·August 19, 2021

Licensing Program Analyst (LPA) Konnor Leitzell arrived at the facility on 08/19/2021 to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with Lydia Copaciu (Admin) and Eugene Copaciu (Staff) explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted admin and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Masks. Additionally, LPA was screened by Lydia and answers were documented in their visitor screening log. LPA, admin and staff toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, three (3) of three (3) resident bedrooms, two (2) of two (2) bathrooms, kitchen, garage, backyard and storage shed. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and admin completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.