Routine inspection·February 3, 2023

Licensing Program Analyst (LPA) Tammer de los Santos visited the facility to conduct an annual required licensing inspection. LPA was granted entry into the facility by Caregiver Teci Fernandes to whom LPA disclosed the purpose of the visit. Administrator Kevin Fleck joined later During today's visit, LPA toured the facility and verified compliance with infection control practices. LPA observed one central entry point for universal entry screening; a sign-in policy enacted for visitors; signs in the facility to promote hand hygiene, cough / sneeze etiquette, symptom, and transmission awareness; face coverings worn by staff; hand sanitizer readily available; available visitation area; and an ample supply of cleaning products and personal protective equipment. LPA provided additional guidance on using only paper towels in the common bathrooms. Administrator previously submitted an Infection Control Plan. No deficiencies were cited during today’s visit. An exit interview was conducted with Administrator Kevin Fleck, and copies of this report and Licensee Rights (LIC 9058) were provided at the conclusion of the visit. Facility representative’s signature on this form acknowledges receipt of the rights and a copy of the report.