Routine inspection·April 21, 2022

On 4/21/2022 at 1:15PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Lorraine Roma, Caregiver and explained the purpose of the visit. Administrator, Restituto Sabadera arrived at 2:25PM. Upon entry, LPA's temperature was checked. LPA observed screening station outside on porch that contained hand sanitizer and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hot water temperature in the shared clients’ bathroom was measured at 113.7 degree Fahrenheit. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE and paper supplies are sufficient. The following forms to be updated and submitted to CCLD by 4/28/2022 : -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility Continued on LIC9099C Continued from LIC9099. -LIC610E Emergency Disaster Plan -An updated copy of Administrator certificate There were no deficiencies observed during visit. Exit interview conducted and a copy of this report provided.