Routine inspection·October 27, 2022

10/27/22 Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with caregiver Maria Vergen and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; LPA completed a facility risk assessment upon arrival. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by facility staff. Administrator was notified but was unable to attend. LPA and Caregiver toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, bedrooms, bathrooms, kitchen, storage areas and office. LPA advised the rear slider be repaired for easy of opening/ closing. LPA and the caregiver completed the infection control domain and facility was found to be in substantial compliance at this time. LPA advised fit testing of N-95s be completed for staff who may work with Covid Pos. clients. Clients were not present at the time of the inspection. Deficiency is being cited as a result of todays inspection. Technical assistance also was provided. Exit interview conducted and copy of report was emailed to Maria Vergen.