Routine inspection·December 2, 2022

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee, Emma Mutunga. The inspection is based on Infection Control practices of this facility. LPA confirmed that facility is no longer requiring vaccination verification per recent guidance. LPA/Licensee initiated a walk-through of the facility and observed the following: Facility has COVID-19 posters throughout that include hand washing signs in bathrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Staff had masks on during this visit. Commonly touched surfaces are disinfected at least once per day. Facility does perform daily screening of staff and residents. Facility has a designated visitation area outside and is allowing for visitation in resident rooms per CCL guidance. Staff continue to receive training on infection control and donning and doffing of Personal Protective Equipment PPE and have been N95 fit tested. LPA/Licensee discussed visitation and activities. Facility has submitted and CCL has reviewed their Covid Mitigation Plan. Facility has more than a 30 day supply of PPE including but not limited to masks, gowns, and hand sanitizer. Facility maintains a 30 day supply of medication. Fire extinguishers were last serviced December 9, 2021. Smoke Detectors and Carbon Monoxide detector were operational. Water temperature reading was 109.8 which is within regulation. Licensee submitted updates of the following documents: LIC 308 Designated Administrator. LIC 500 Personnel Summary. LIC 610 Emergency Disaster Plan. Liability Insurance. No deficiencies cited during today's inspection. Exit interview conducted with licensee Emma Mutunga and a copy of this report was provided to licensee.