Post-licensing visit·September 23, 2021

Licensing Program Analyst Willis arrived unannounced to conduct a Post Licensing Inspection and met with Licensee, Victor Dada. Upon arrival, LPA's temperature was checked and documented and LPA was asked to sign in. LPA conducted a walk-through of the facility and observed the following: Facility has Covid-19 posters throughout the facility including on the front door and hand washing signs in the bathroom. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer was available in common areas. Staff wear masks while in the facility. Observed staff had masks on during this visit. Per conversation with Licensee, they are not currently screening residents and staff daily but will start. LPA and Administrator discussed resident activities and visitation. Commonly touched surfaces are disinfected throughout the day. Facility was recently licensed so does not currently have a Mitigation Plan but will complete an LIC808 form and submit to CCL no later than October 8, 2021. Facility has at least a 30 day supply of Personal Protective Equipment (PPE) including surgical masks, gloves and hand sanitizer. LPA suggested getting N95 masks, gowns and face shields in case facility has a Covid positive resident in the future. Licensee will look into N95 fit testing in case it becomes needed. Facility maintains a 30 day supply of medication. LPA requested that Licensee review PIN 21-43-ASC regarding Mitigation Plans and PIN 21-40-ASC regarding Visitation, Testing And Vaccination Verification. Administrator and LPA discussed their Emergency Disaster Plan. . No deficiencies cited during this inspection.