Routine inspection·June 28, 2021

Licensing Program Analyst (LPA) Dawn Segura visited the facility to conduct an annual required licensing inspection. LPA was granted entry into the facility and met with Channa Kelly, Executive Director, with whom she discussed the purpose of the visit. During today's visit, LPA toured the facility and verified compliance with infection control practices. LPA and Channa Kelly reviewed the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation. 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 posted at facility entrance with the facility’s visitor policy and signs in the facility to promote hand hygiene, cough/sneeze etiquette, and physical distancing; face coverings worn by staff; hand sanitizer/hand washing stations readily available; available visitation areas; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of cleaning products and Personal Protective Equipment. No deficiencies were cited during today’s visit. An exit interview was conducted with Channa Kelly, Executive Director, and a copy of this report and Licensee Rights (LIC 9058 FAS 01/16) were provided to the Executive Director via email. An electronic receipt of confirmation was requested to be sent to LPA upon receipt of the documents.