Routine inspection·June 8, 2021

Licensing Program Analyst (LPA) Pauline Beschorner arrived at the facility on June 8, 2021 at 12:55 PM to conduct an Annual/Required Visit. Upon LPA arrival, caregiver Marlene Belardo greeted LPA at the door and granted LPA entrance into the facility. Administrator Melvin Torres was called and arrived at the facility approximately 5 minutes later. Torres accompanied LPA on a tour of the inside and outside of the facility and the following was observed: All staff and residents have been vaccinated. All staff are wearing a surgical mask while working at the facility. Torres stated that staff are tested for COVID at least monthly. Torres stated all staff will be going again to be tested in June but were tested in May. LPA observed a sufficient amount of PPE for the facility. LPA observed surgical masks, gowns, hand sanitizer, and face shields present. LPA observed all COVID signs present including hand washing, donning and doffing of PPE, visitation policy and cough etiquette. LPA observed 5 residents in total. One resident was outside, while the other residents were resting in their rooms. Visitors are screened at the front door for temperature and COVID screening questions are asked. Visitors are asked to wash their hands outside before entering into the facility. The facility provides care to residents with dementia but the facility does not have a designated memory care ward. An exit interview was conducted and a copy of this report was provided to Administrator Melvin Torres. No citations or technical violations are being issued at this time.