Routine inspection·June 23, 2022

On 06/23/2022 at 02:00 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an Infection Control Inspection, LPA was greeted by one Caregiver upon entry and explained the purpose of the visit. The Administrator, Nalini Bhutani (ADM) was telephoned by the Caregiver and arrived about 30 minutes later. Facility has a COVID-19 mitigation plan on file. LPA requested a staff and resident roster from ADM. LPA observed screening station at the entry with COVID-19 signage, sanitizer, and a visitor sign-in log. Advised to have masks available if needed. LPA toured the facility including, but not limited to common areas, bathrooms, bedrooms, and kitchen. LPA observed cough etiquette and hand washing signs posted. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap and paper towels. ADM to provide covered garbage cans in shared areas including bathroom, add 20 seconds to handwashing signs, remove towel in shared bathroom, create an isolation cart and maintain a 30 day supply off PPE on site. Hot water temperature in the shared residents' bathroom was measured at 111.9 degrees Fahrenheit (F) and facility temperature was 72 degrees (F). Fire extinguisher last inspected 01/04/2022 and was observed full. Smoke/Carbon Monoxide detectors were observed operational. The following forms are to be updated and submitted to CCLD -LIC500 Personnel Report (Reviewed) -LIC308 Designation of Administrative Responsibility (Reviewed) -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) (Reviewed) Exit interview conducted and a copy of this report provided.