Follow-up·April 14, 2022

Licensing Program Analyst (LPA) Sabrina Calzada arrived at the facility unannounced on 4/14/2022 to conduct a case management inspection for overdue annual fees. LPA met with, Jeanina Lup, Co-Administrator, and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms, and contacted facility and completed a facility risk assessment. LPA ensured to apply hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: KN-95 Mask. LPA discussed reason for inspection with Jeanina Lup, Co-Administrator, who stated that she believed annual fees were paid when they were due (9/1/2021). LPA confirmed in the Department's system that the annual fees were paid on/around 9/16/2021, so a 50% late fee was assessed. LPA provided balance and PIN information to Co-Administrator who paid current balance in full during today's inspection. LPA observed confirmation of payment in full during inspection. LPA observed (2) residents to be eating dinner in the kitchen and (2) residents to be in their room. In areas toured, LPA did not observe any health and/or safety risk to residents. There are no deficiencies being cited today. Exit interview. Copy of report provided to Administrator.