Routine inspection·May 17, 2022

On 05/17/22 at 8:30AM, Licensing Program Analyst (LPA) James 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 9:50AM. Facility has a mitigation plan in place dated 02/22/21 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 spoke with 4 of the 6 residents who all spoke very highly of the care they are receiving. 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 05/16/22 was posted on the bulletin board for staff, clients and visitors to read. Centrally stored medications were in locked cabinets adjacent to the kitchen. Sharp objects were locked underneath the kitchen sink. Toxic chemicals were stored in a locked closet inside the garage. 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 05/24/22: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610D- Emergency/Disaster Plan · Evidence of Liability Insurance & Surety Bond No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided via email.