Routine inspection·August 20, 2024

On 08/20/24 around 08:45 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. Co-Licensee 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 sleeping and later going to the bathroom. 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. Licensee to increase the surplus of PPE that is 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 69 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 tagged with receipt on 07/05/24. Emergency Disaster Plan is updated. Last safety drill conducted 07/15/24 and is rotational between AM and PM schedules quarterly. LPA reviewed three (3) staff files with criminal record clearances, and four (4) resident files. After repairs are completed, licensee to remove 3-4 wooden boards, 2 shower glass doors, and a screen in disrepair at the sliding door of the dining room. The following forms are to be updated and submitted to CCLD 09/03/24: -Resident Roster -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) -Infection Control Plan (Reviewed -Removal of debris Exit interview conducted and a copy of this report provided to ADM.