Routine inspection·May 3, 2022

On 05/03/2022 at 11:30AM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. LPA explained the purpose of the visit with S1 upon entry, who then called the administrator who arrived at 12:15PM. Facility has a mitigation plan (LIC 808) in place dated 02/22/2021 to mitigate the spread of COVID-19. LPA discussed the importance of having an updated infection control plan in accordance with PIN 22-13-ASC . LPA inspected the facility inside and outside. LPA observed the 2 staff assisting 6 of the 6 clients with activities of daily living. One central entry point has been designated for universal entry screening with the station located near the front entrance with visitor's log, hand sanitizer, face masks, and no touch temperature probe. COVID-19 signs were posted throughout the facility to promote hand washing, cough/sneeze etiquette and physical distancing. A written Emergency/Disaster plan was posted on the bulletin board for staff, clients and visitors to read. There were at least 7 days of nonperishable and 2 days of perishable foods. Centrally stored medications were locked in the cabinets. Sharp objects were locked underneath the kitchen sink. Toxic chemicals were stored in a locked closet inside the laundry room. Infection control designated leader is the administrator. Continued on next page LIC 809-C Administrator is on site a minimum of 20 hours a week to oversee proper business operation. LPA observed fire extinguisher was fully charged. All staff and 6 clients have been fully vaccinated. Smoke and Carbon monoxide detectors were operational. Adequate supplies of PPE were also observed stored on the premises. Facility follows daily cleaning, sanitation of frequently touched common surfaces with disinfectants. Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 05/10/2022: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610D- Emergency/Disaster Plan · Evidence of Liability Insurance & Surety Bond Facility cited with 1 Type A and 1 Type B deficiencies. Exit interview conducted and a copy of this report provided via email.