Routine inspection·April 29, 2022

On 4/29/2022 approximately 12:40pm, Licensing Program Analysts (LPAs) L. Fici and L. Hall arrived unannounced to conduct infection control inspection LPA's met with administrator Collong, Teresita and explained the purpose of the visit Upon arrival facility staff were not observed wearing masks. During the Infection Control Inspection, LPAs toured facility including but not limited to front yard, common areas, kitchen, bedroom, shared bathrooms. There is a central entry point for staff and visitors. LPAs did not observe a screening nor were they any COVID signage throughout facility. Facility's temperature is measured at 70 degrees F. Hand washing posters, soap, and paper towel were observed in bathroom. Fire extinguisher is maintained and serviced dated 3/9/2022. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. LPA's observed PPE's and facility has a mitigation plan on file. The following forms are to be updated and submitted to CCLD By 5/6/2022. - LIC500- Personnel Report - LIC308- Designation of Administrative Responsibility - LIC610E- Emergency Disaster Plan - An updated copy of Administrator certificate Continue on LIC809-C Continue on LIC809 the follow deficiencies were observed during inspection: 12:45pm- LPAs did not observe screening station. 12:55pm- Cleaning products such as, pledge, tide pods, downy, pine sole, arm & hammer detergent, Clorox, and glass cleaner were observed in garage, accessible to person(s) in care. 1:05pm- LPAs observed Resident 1 (R1) in bedroom #7 with half bed rails. There was not a doctor's order in R1's file. room. 1:10pm- LPAs observed shed/storage in back yard being used as living quarters for staff. Shed contained a bed, clothing, refrigerator, and medication being too S3. 1:15pm- LPAs observed R2 residing in bedroom number seven (7). On facility sketch, bedroom number #7 shows as staff room. Staff now resides in room #2.