Routine inspection·August 16, 2021

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection. LPA met with Virginia Bonite, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive Covid-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and completed a facility risk assessment. 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: surgical Mask. There are (6) residents at the facility and no residents are currently receiving hospice services. LPA observed a resident to be finishing eating breakfast in the main room at the start of the inspection. LPA observed that (4) residents were napping during the inspection and (2) were watching television in their rooms. LPA and caregivers toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, (2) shared resident bedrooms, (1) private bedroom, (1) restrooms, kitchen, dining room, laundry area and staff room . In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed sufficient food and PPE supply. LPA and caregivers completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 74* F. Copy of current insurance liability policy obtained. Staff (2) that are not vaccinated will be tested weekly per new department guidance. Administrator to provide confirmation of staff testing by Friday, 8/20/2021. Administrator and LPA discussed contacting public health for testing information and the Ombudsman regarding a non-compliant resident. There were no deficiencies cited as a result of todays inspection. Exit interview conducted with Administrator, caregiver, and copy of report left at the facility.