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and welcome you to our first training since the phe was declared in 2020 Im Carol eastberg the Nevada state REI coordinator with the division of public and Behavioral Health Bureau of Health Care Quality and compliance Ive been with the bureau going on 17 years now and this will be my ninth year as the Rai coordinator prior to this I participated in on-site inspections and complaint investigations for the various facility types including long-term care for seven years the bureau is actually the state survey agency we work as an arm of the federal of the feds to ensure that the regulations are being followed and that the residents are receiving the care that they need prior to that I did home health so thats a little bit of my background before we get started a few housekeeping notes and preliminary remarks please do not use the chat feature except to let us know if you are having technological issues so if you cant see or hear the presentation please put that in the chat otherwise