Routine inspection·July 23, 2021

At 12:30 PM, Licensing Program Analyst (LPA) Toan Luong initiated facility risk assessment questionnaire with Administrator Valentina Polunets. LPA conducted an unannounced on-site one year infectious control annual visit to the facility. LPA met with Administrators Valentina Polunets and Viktoria Andreichenko and explained the purpose of the visit. Administrator Valentina Polunets took LPA on a physical plant tour of the facility. The facility has submitted an approved mitigation plan to the department. The facility is a Residential Care Facility for the Elderly. During the facility tour, LPA advise Administrator to post various infection control signs. Signs include visitation signs outside facility, cough/sneeze etiquette, reporting of acute respiratory illness, CDSS PINs. Administrator posted signs prior LPA's departure in a visible location. LPA discussed benefits of fit-testing N95 masks for staff to avoid temporary staffing of nurses and other trained professionals and steps facility may take to fit-test staff. LPA reviewed the Annual Mitigation Inspection Control Tool Module. Module was addressed with Administrators to satisfaction. Exit interview was conducted. No deficiencies were cited. Report was emailed to the Administrator.