Routine inspection·April 26, 2022

On 04/26/22 at 11:15AM, Licensing Program Analyst (LPA) James Sampair conducted an infection control annual inspection. LPA explained the purpose of the visit with administrator upon entry. Facility has a mitigation plan in place dated 01/05/2021 to mitigate the spread of COVID-19. LPA discussed the importance of having a completed mitigation plan (LIC 808) with administrator, as well as the infection control plan that she said will be complete in time for the 06/30/22 due date. LPA inspected the facility inside and outside. LPA observed the 2 live-in staff interacting with and caring for all of the 5 clients. 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 dated 01/05/20 was posted on the bulletin board for staff, clients and visitors to read. LPA spoke with administrator about the importance of updating the information in the plan with the staff living and/or working at the facility. Centrally stored medications were locked in the kitchen cabinets. Sharp objects were locked underneath the kitchen sink. Toxic chemicals were stored in a locked closet. Infection control designated leader is the administrator. Continued on next page LIC 809-C All staff and clients have been fully vaccinated. There was at least 7 days of nonperishable and 2 days of perishable foods. Emergency food supplies were observed stored in the pantry and garage. However, opened food in the refrigerators and freezers were not marked with the date opened for which the facility was cited. Facility room temperature was maintained at 72.1 degrees Fahrenheit and the hot water temperature was 115 degrees Fahrenheit. Administrator is on site a minimum of 20 hours a week to oversee proper business operation. LPA observed fire extinguisher was fully charged. Smoke and Carbon monoxide detectors were operational. Adequate supplies of PPE were also observed stored in the garage. Facility follows daily cleaning, sanitation of frequently touched common surfaces using Clorox and Lysol disinfectants. Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 05/04/22: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610D- Emergency/Disaster Plan · Evidence of Liability Insurance & Surety Bond Exit interview conducted and a copy of this report provided via email.