Routine inspection·July 27, 2023

On 07/27/23 around 01:10 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA contacted Maria Riformo (ADM) and explained the purpose of the visit. Matthew Riformo, Administrator (ADM) arrived about 10 minutes later to assist with the inspection. ADM currently holds a standard certificate (#6045022740 ). The facility’s fire clearance was approved for six (6), no more than four (4) non-ambulatory residents and one (1) bedridden. Upon entry, LPA and ADM toured the facility including, but not limited to common areas, bathroom, bedrooms, kitchen, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. The facility has an updated Infection Control Plan (ICP). All hand washing stations were equipped with soap, paper towels and covered garbage cans. There is a surplus of PPE centrally located inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 106.5 degrees Fahrenheit (F) and the facility's temperature was comfortable. Fire extinguisher was observed full. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. continued on LIC809C... ...continued from LIC809. LPA reviewed two (2) complete staff records. There are not any residents at this time. 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) Exit interview conducted and a copy of this report provided to ADM.