Routine inspection·November 22, 2021

Licensing Program Analyst (LPAs) Marybeth Donovan and Christine Dolores conducted an unannounced Required - 1 Year Annual inspection to include Infection Control site visit. LPAs met with Teodora Sison Licensee and toured the facility inside and out. LPAs observed a central entry point. Facility has 3 shared rooms with beds 6 feet apart. Bathrooms have supplies of paper towels and soap available for staff, residents, and visitors. Hand washing signs posted in the bathrooms and in the kitchen. Trash cans were observed covered with lids. LPAs observed a supply of PPEs. Facility staff disinfect and sanitize high touch surfaces daily and as needed. Facility has a mitigation plan in place to prevent the spread of COVID-19. LPAs discussed training, masks, donning and doffing of PPEs, N95 Fit Testing, disinfecting, isolation and reporting requirements. The Department will provide supply of additional PPEs to the facility. No deficiencies cited during today's visit. Advisory notes provided to the Licensee regarding COVID 19 screening guidelines and documentation of the screening process. This report was reviewed with Teodora Sison Licensee and a copy emailed due to technical issues.