Routine inspection·August 14, 2022

Licensing Program Analyst (LPA) Correia conducted an unannounced annual inspection. LPA identified herself and was greeted and allowed entry to the facility by Caregiver Maria Reyes. LPA met with Licensee Zezelj and explained the purpose of the visit. LPA conducted a tour of the facility accompanied by Licensee Zezelj, to ensure compliance with the Department’s Infection Control Policy. LPA provided technical assistant and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan (LIC 808). LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff and visitors; A sign-in policy enacted for all visitors; Face coverings worn by staff; Hand sanitizer/hand washing stations readily available; A designated visitation area; Emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of PPE (Personal Protective Equipment). Based on observations, the facility is in compliance with and has implemented infection control practices as outlined in its LIC 808. No deficiencies were observed during today's visit. An exit interview was conducted with Licensee Zezelj to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided. Signature on this form confirms receipt of the reports.