Routine inspection·August 7, 2023

On 08/07/23 around 09:15 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA was greeted by one care staff upon entry and explained the purpose of the visit. Joel Aliping, Administrator (ADM) currently holds a standard certificate #(6016976740 ) exp. 05/24/2024. The facility’s fire clearance was approved for six (6), three (3) may be non-ambulatory residents. Upon entry, LPA observed one (1) resident watching television and the other lounging in his/her recliner chair. LPA and ADM toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, garage, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. Routine safety drills are rotational between AM and PM schedules monthly, and was last completed 07/2023. 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 garbage cans. There is a surplus of PPE centrally stored in the garage that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 106.4 degrees Fahrenheit (F) and the facility's temperature was 78 degrees (F). Fire extinguisher was observed full and purchased 08/06/23. Smoke/Carbon Monoxide detectors were observed operational and two (2) first aid kits are complete. continued on LIC809C... ...continued from LIC809. LPA reviewed three (3) staff files; they were complete with criminal background clearances, and three (3) completed resident files. The following forms are to be updated and submitted to CCLD: -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610 Emergency Disaster Plan -An updated copy of Administrator Certificate(s) (Reviewed) -Liability Insurance Exit interview conducted and a copy of this report provided to ADM.