Routine inspection·April 21, 2022

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced Required- 1 Year inspection. The LPA was greeted by Administrator, Drusella Silva, identified himself, and discussed the purpose of the visit. The inspection included, but was not limited to, verifying compliance with statutes, regulations and other requirements most relevant to protecting the health of residents in care and staff, including the area of infection control practices. In accordance with the Department’s Infection Control program, the LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan (LIC 808). The 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; Signs posted at facility entrance with the facility’s visitor policy, and signs throughout the facility to promote hand hygiene; 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 Administrator, Drusella Silva, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.