Facility Evaluation Report

On 09/02/2021 at 1:15PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct an Infection Control Inspection. LPA met with staff, Badrudeen Martin and explained the purpose of the visit. Administrator, Carla Blaj was informed of the visit and came as soon as she was able, which was within 60 minutes.

LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, and outdoor areas. LPA observed sign & symptoms, cough etiquette, and social distancing were posted in the common areas. Hand washing posters were posted at bathrooms and sinks.

During record review, LPA observed visitors log. LPA observed facility has a copy o f Mitigation Plan . LP A observed that PPEs, food, and paper supplies were sufficient.

Exit interview conducted. A copy of this report and appeal rights provided.