Routine inspection·December 22, 2021

Licensing Program Analysts (LPA's) Sabrina Calzada and Cassie Yang arrived unannounced to conduct a required annual. LPA's met with Licensee, Lidia Floruta and Gheorghe Flouruta, and Sergiu Floruta, Administrator, and 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's were screened per Covid-19 precautionary measures upon entering the community. LPA's ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Facility currently has (4) residents and (2) residents are on hospice. LPA's observed (4) residents to be resting in their rooms. LPA's and Licensee toured the interior of the facility, including (6) private resident rooms, bathrooms, kitchen, laundry room and common areas. LPA's observed it to be clean and in good repair. LPA's observed various Covid posters throughout. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA's and Licensee completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 71* F. LPA's observed sufficient 2+day perishable and 7+day non-perishable food. LPA's observed paper towels, soap, sanitizer and Covid posters and a trash can with lid in the bathrooms. LPA's observed ample PPE supply. Sharps, Toxins and medications were secured. LPA's observed required postings in the facility. LPA's and Administrator discussed vaccination status of residents and staff as well as visitation protocols per PIN 21-40 issued 8/27/2021 . LPA's observed current Administrator certificates posted. LPA requested an updated copy of LIC308 and obtained a current copy of liability insurance and LIC500. There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided to Administrator.