Routine inspection·July 7, 2022

Licensing Program Analysts (LPA) Zabel Chochian conducted an unannounced Required Annual inspection. This annual had a specific emphasis on infection control practices and procedures. The LPA met with staff and reason for visit was explained. Staff contacted Administrator and reason for visit was explained. Administrator stated that his designated staff will assist LPA with today's visit. Staff and LPA toured the physical plant areas to ensure the facility is in compliance with the Infection control requirements. INFECTION CONTROL: During today’s visit, LPA spoke with the Administrator and staff regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. The LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility has not had a confirmed case of COVID-19 at this time; however, the facility’s policies and procedures as it pertains to infection control appeared to be in compliance during todays visit. Following Technical Advisory note issued: Licensee/Administrator was informed that the following signs should be posted: 1) Updates to visitor policy to notify of policies and procedures necessary to protect residents from infection during pandemic, in accordance with personal rights requirements. 2)Signs are posted throughout facility to promote hand washing, cough/sneeze etiquette, and physical distancing. 3) Signs are posted throughout facility to encourage residents to report acute respiratory illness to staff. Facility observed in substantial compliance with infection control practices during today's visit. Exit interview conducted with staff. Copy of report email to Licensee/Administrator.