Facility Evaluation Report

Licensing Program Analyst (LPAs) Bethany Mirlohi and Lavinia Muscan arrived unannounced to conduct a POC visit. LPA met with Administrator , during today's 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 ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks.

LPA's toured the facility with administrator and observed 4 resident rooms and bathrooms. LPA's observed all 4 resident rooms and bathrooms to be clean and sanitary. LPA cleared deficiency during today's inspection.

Administrator to send into LPA a copy of the plan on how they will keep resident bathrooms in a clean and sanitary condition by 3/31/22.

In addition, LPA's received LIC308 and administrator certificate of the new administrator.

Exit interview conducted and copy of report and letter of clearance was provided.