Routine inspection·July 21, 2021

Licensing Program Analyst (LPA) Karen Taku conducted an unannounced annual (Infectious Control) Inspection today. LPA met with Administrator (ADM) Gladys Smart. At 10:10am, LPA entered the facility through the designated entry point and was screened by staff. All staff were observed wearing face coverings. At 10:25am, LPA was accompanied by the ADM during a tour of the facility, inside and out. LPA observed hand sanitizer readily available in all resident bedrooms. All three restrooms were observed with hand washing posters, liquid soap, paper towels, and a touchless trash can. COVID-19 prevention posters were observed in the main dining/living room area. LPA observed an adequate supply of PPE readily available to staff. Backyard/patio area observed in good repair. Per Administrator, routine symptom screening is conducted twice a day. The facility is currently accepting visitors inside and in the backyard patio area of the facility. All visitors are required to wear mask when visiting inside the facility. LPA obtained copies of the following documents during visit: 1. LIC 500- Personnel Summary 2. LIC 308- Designation of Administrative Responsibility 3. LIC 610- Emergency Disaster Plan 4. Current Administrator's Certificate The facility is adhering to the COVID-19 Mitigation Plan approved on 3/18/21. No deficiencies were cited. Exit interview conducted with the ADM and a copy of this report was provided.