Pre-licensing visit·June 20, 2022

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced on 6/20/22 to conduct a Pre-licensing referencing the infection control domain. LPA met with licensee and applicant and explained the purpose of the visit. Prior to initiating the pre-licensing 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 and contacted licensee 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: surgical Mask. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Vivek completed the infection control recommendations and facility was found to be in substantial compliance at this time. Component III review completed. Facility is in significant compliance License pending approval. Exit interview conducted and copy of report left at the facility.