Routine inspection·July 28, 2022

On 07/28/2022 at 11:03 am Licensing Program Analysts (LPAs) J. Clancy-Czuleger and H. Humpal arrived unannounced to conduct infection control inspection LPAs meet with staff Francyne West and explained the purpose of the visit. Administrator Telesha Clarke joined later. During the Infection Control Inspection, LPAs toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen, and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. There is one central entry point for universal screening for staff, residents, and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced in March 2022. The following deficiency was observed during the visit: LPA's observed that the chemicals under the kitchen sink were not locked up The Facility was cited and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided. Exit interview conducted.