Routine inspection·September 17, 2021

On 09/17/21, Licensing Program Analyst (LPA), Mohamed Filouane, conducted an unannounced 1-year required infection control inspection. At approximately 12:35 PM, LPA met with a staff member at the entrance of the facility. LPA was sanitized following the facility's entrance health and safety procedures. LPA also had his temperature checked and logged and then signed into the facility. At approximately 12:40 PM, LPA spoke with Administrator Justice Ehimamiegho over the phone, explained the purpose of the visit, and was told the Administrator would arrive within twenty minutes. LPA Filouane conducted a tour of the facility alone while facility staff were working and attending to the residents. The physical plant is consistent with the submitted facility sketch/floor plan and has the COVID-19 health and safety signage. There are no obstructions blocking indoor and outdoor passageways. No pools or bodies of water observed. The facility's kitchen is free of debris. At 12:45 PM, LPA observed the facility's restrooms as clean and equipped with hand washing signage. The facility's backyard was free of debris. The clients' bedrooms were inspected and all had required lighting and furniture. Facility was equipped with smoke detectors and carbon monoxide detectors. LPA also observed the fire extinguishers as current. The facility's first aid kit included the required tweezers, scissors, and a thermometer. Cleaning solutions are stored and locked. At approximately 12:50 PM, LPA completed the self-tour of the facility. At approximately 1:00 PM, the Administrator arrived in the facility. LPA reviewed facility procedures for visitation entrance, temperature checks and logs, COVID-19 isolation, and PPE, food and cleaning supply storage. This report was reviewed with the Administrator. No deficiencies were cited today. Exit interview conducted with the Administrator. A copy of this report will be emailed to the Administrator.