Routine inspection·August 2, 2023

On 08/02/23 around 09:15 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. Maria Riformo, Administrator (ADM) arrived about 10 minutes later. ADM currently holds a standard certificate (#6006016740 ). The facility’s fire clearance was approved for six (6), four (4) may be non-ambulatory residents. Upon entry, LPA observed one (1) resident coming out of the bathroom and the television was on in the living room. LPA and ADM toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. 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 facility and accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 107.8 degrees Fahrenheit (F) and the facility's temperature was 73 degrees (F). Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. continued on LIC809C... ...continued from LIC809. Fire extinguisher was observed full and tag needs to be replaced. Emergency Disaster Plan is updated. Next safety drill to be conducted 08/09/23 and is rotational between AM and PM schedules quarterly. LPA reviewed two (2) staff records that are complete with criminal record clearance, and four (4) resident records. The following forms are to be updated and submitted to CCLD 08/09/23: -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility (Reviewed) -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) -Infection Control Plan Exit interview conducted and a copy of this report provided to ADM.