Routine inspection·September 30, 2022

On 09/30/22 at 03:05 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual Infection Control Inspection. LPA was greeted by one receptionist upon entry and explained the purpose of the visit. Jeff Emoruwa, Director of Health Services was present at the front desk. Facility has a COVID-19 mitigation plan on file. LPA obtained a resident roster and staff roster. LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, COVID-19 signage, and a visitor sign-in log. LPA toured the facility including, but not limited to common areas, bathroom, kitchen, and storage. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. Administrator posted 20 seconds hand washing signs in the kitchen and continues to maintain isolation carts for infection control. 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, paper towels and covered garbage cans. There is a surplus of PPE centrally stored and located inside the facility that is accessible to Care Staff. Hot water temperature in the shared residents' bathroom was measured at 114.5 degree Fahrenheit (F) and the facility's temperature was 72 degree (F). Fire extinguisher was observed full and last inspected on 03/22/2022. 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 -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) (Reviewed) Exit interview conducted and a copy of this report provided to Jeff Emoruwa, Director of Health Services.