Routine inspection·June 29, 2021

Licensing Program Analyst (LPA) Karen Taku conducted an unannounced Infection Control site visit. LPA met with Executive Director (ED) Natalie Barman. LPA toured the facility with the ED. LPA observed a designated entry point for universal symptom screening (Accushield), including temperature check, PPE, and a touchless hand sanitizer station. LPA observed staff conducting C-19 screening for visitors and residents returning to the community. Hand sanitizer stations and COVID-19 prevention posters were observed on each floor in the facility. Restrooms were observed with hand washing posters, soap, paper towels, and a touchless trash can. LPA observed all staff wearing face masks. LPA observed an adequate supply of PPE. Common areas were observed adequately furnished, well-lit, and in good repair. Hallways were observed to be well-lit and free of obstruction. The facility will continue with surveillance testing for staff that aren't fully vaccinated. LPA requested an updated copy of the following documents: 1. LIC 500- Personnel Summary 2. LIC 308- Designation of Administrative Responsibility 3. LIC 610- Emergency Disaster Plan 4. Current Administrator's Certificate No deficiencies cited during today's visit. This report was reviewed with the ED and a copy was provided.