Routine inspection·January 24, 2022

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Zanaida Berry, caregiver, who contacted Administrator, Cecilia Suaybaguio, Administrator, who, arrived at 2:45 pm to the facility. LPA explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask. Facility currently has (6)residents and (1) resident is on hospice. LPA observed (6) residents to be in their private rooms napping. LPA observed (1) visitor to be leaving the facility after visiting with the resident on hospice. LPA also observed a second caregiver, Lydia Suaybaguio, to be on site. LPA and caregiver toured the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, (6) resident bedrooms, (2) resident restrooms, kitchen, dining room, and laundry area. LPA and caregiver completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 72* F. LPA observed sufficient 2+day perishable and 7+day non-perishable food and PPE supply. LPA observed paper towels, soap and sanitizer and a trash can with a lid in the bathrooms. LPA observed Covid-19 posters to be posted at the front entrance and throughout facility. LPA to provide additional posters and recommended "Mask required" poster be placed outside entrance. LPA and Administrator discussed vaccination status of residents and staff and reviewed PIN 22-04, issued 1/18/2022, regarding visitation protocols. All staff are cleared and associated/requested to be associated to the facility. There were no deficiencies cited as a result of todays inspection. Exit interview conducted with Administrator, and copy of report left at the facility.