Routine inspection·July 14, 2022

On 07/14/2022 at 3:20 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual Infection Control Inspection. LPA met with Licensee Maria Riformo and Administrator Matthew Riformo (ADM). LPA explained the purpose of the visit. Facility has a COVID-19 mitigation plan on file. LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, masks, face shields, gowns, gloves, COVID-19 signage, and a visitor sign-in log. LPA toured the facility including, but not limited to common areas, bathroom, and kitchen. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. Licensee to post 20 seconds to hand washing sign in the bathroom, and create an isolation cart for infection control. There was a sufficient supply of non-perishable foods; there are not any residents at this time. All hand washing stations were equipped with soap, paper towels, and covered garbage cans . There is a surplus of PPE centrally stored inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 109 degrees Fahrenheit (F). Fire extinguisher was observed full. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. Licensee, Maria Riformo agreed to inspect, disinfect facility and notify, CCLD prior to accepting new residents. The following forms are to be kept 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 to Licensee, Maria Riformo