Routine inspection·August 11, 2022

Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an annual required licensing inspection. This annual inspection was focused on infection control due to the COVID-19 pandemic. LPA was greeted at the front entrance by Caregiver, Nareyda Ledesma and granted entry after identifying herself. LPA discussed the purpose of the visit. Administrator, Dejan Boskoski arrived during the visit. This facility serves six (6) elderly residents ages 60 and above; all of whom are non-ambulatory. Facility has a hospice waiver for four. During today's visit, LPA toured the facility with Caregiver, Dianna Cisneros, and verified compliance with infection control practices. LPA and Administrator, Dejan Boskoski reviewed the facility’s COVID-19 Mitigation and Infection Control Plan. LPA observed one central entry point; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; signs throughout the facility to promote hand hygiene, cough/sneeze etiquette; face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; and an adequate supply of PPE and disinfectants. Based on today's visit, no deficiencies were observed in the areas evaluated above. An exit interview was conducted with Administrator, Boskoski and a copy of this report along with the Licensee/Appeal Rights (LIC 9058) was provided at the facility.