The physical plant infection control inspection began with the caregiver Kara, who escorted LPA throughout the facility. The facility has (7) private bedrooms; with (1) room for staff, and (1) empty room, with no clients, that will be used for isolation if needed for COVID clients. All bedrooms were properly furnished, and beds were (6) feet apart. The common areas were observed to be clean, including bathrooms, with soap and towels, and hand washing signs visually posted. The food supply met Licensing requirements. LPA conducted a mitigation plan review with the Licensee, to obtain information on how the facility has implemented the department's mitigation plan.

The Administrator reported to LPA, the facility has documentation of all vaccination records and other pertinent information pertaining to COVID-19, in staff and resident files. Clients are enrolled with the agency PACE, who provide day program services and transport for medical appointments, etc, ensure clients are weekly tested for COVID. Everyone that leaves the facility, is screened once they return with temperature check and must wash their hands. All new employee hires and new resident admits, will be properly screened, and provided a negative COVID test, prior to entering the facility. Licensee reported the Administrator

PPE supplies were inspected, and supplies are kept at a storage unit, location in the back of the facility. Chemicals, cleaning supplies, paper products were observed and locked and secured. Licensee informed LPA that they continue to implement the best practices for their facility, which has kept them COVID-19 free. The facility is aware to report any changes with residents and staff to Licensing and there LPA, pertaining to positive COVID-19 cases.

Exit interview was conducted and copy of report provided.