Routine inspection·August 30, 2021

Licensing Program Analyst (LPA) Wolter arrived at the facility unannounced on 08/30/2021 to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with Executive Director, Terri Aguiar and 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 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. Additionally, LPA utilized facility's screening tool upon arrival. LPA and Executive Director toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, brief inspection of ten (10) resident bedrooms - four (4) on each floor and two (2) in memory care, common area bathrooms, kitchen and patio area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Executive Director completed the infection control domain together 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 to be emailed to Executive Director. Executive Director to send in updated copy of LIC 500 - Personnel Report, and current copy of Liability Insurance to Community Care Licensing by 09/07/2021.