Routine inspection·May 19, 2021

Licensing Program Analyst (LPA) Laarni Santiago conducted an unannounced annual required licensing inspection. LPA was granted entry and disclosed the purpose of the visit to Administrator, Alvi Muhammed. An overall tour of the facility was conducted inside and out. The inspection included, but was not limited to, verifying compliance with statutes, regulations and other written requirements that are most relevant to protecting the health of residents in care and staff, including in the area of infection control practices. LPA reviewed the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) with Mr. Muhammed including the following sections: Person in Care, Staff, Visitors, Facilities without COVID-19, Residents, Facility has Plans for Infection Control and Physical Distancing. LPA assessed the strategies that the facility is employing for the prevention, containment and mitigation of COVID-19, implementation of infection control guidance, staff retention and essential health and safety. LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; signs were provided to Administrator to be posted at facility entrance with the facility’s visitor policy and signs throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff and residents were requested to wear face mask; 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. The facility is in compliance with and has implemented infection control practices as outlined in its mitigation plan. No deficiencies were cited during today’s visit. An exit interview was conducted with Administrator, Alvi Muhammed, and a copy of this report and Licensee Rights (LIC 9058 FAS 01/16) were provided to the facility representative via email. An electronic read receipt confirms documents were received.