Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood met with Licensee, Natalya Foksha, to conduct an inspection.

During inspection, LPA observed a staff member not wearing a mask while on the premises. LPA also observed staff not screening visitors upon entry of facility. LPA provided technical assistance regarding staff not wearing a mask and screening visitors. Staff member put on mask after technical assistance.

Exit interview was conducted with Licensee. A copy of this report was provided. The Licensee’s signature on this form acknowledges receipt of these documents.