The infection control plan review was conducted with the Administrator Narek. LPA also conducted a physical plant inspection. The facility has (3) bedrooms; with (1) shared room and beds were kept (6) feet apart. All bedrooms were properly furnished. The common areas were observed to be clean, including bathrooms, with soap and towels. The Administrator reported to LPA, that (3) clients have been vaccinated and have booster shots, as well as the flu shot. Only (2) staff are vaccinated; the others conduct weekly testing and the facility keeps documentation of the test results. All new employee hires and new resident admits, must be properly screened, and provide negative COVID test, prior to entering the facility. Administration continues to conduct training to staff and clients in relation to COVID-19. Administrator reported the facility receives departmental emails. There is currently no paid sick leave policy in place.

Clients are screened at day program and upon entry and when they return back to the facility. Clients that leave the facility for a few days, must return with a negative COVID test.

There are designated rooms for potential positive COVID clients. PPE, chemicals, cleaning supplies, emergency food and water, personal hygiene supplies, and paper products are stored in a locked closet. Currently, the facility has sufficient staff, and has back-up staff in place if needed. The facility has not had any positive COVID-19 reports for staff or clients. The Administrator 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 clients and staff to Licensing and there LPA, pertaining to positive COVID-19 cases.

LPA conducted a staff and client file review. All Licensing required documents were valid and current. Staff had current First Aide/CPR and training records.

Exit interview was conducted with Administrator Narek.