Routine inspection·August 22, 2022

On 8/18/22 at 3:30 PM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. Upon arrival, LPA explained the purpose of the visit with staff members who called Licensee Alberto Bernardino who arrived shortly thereafter and toured the facility inside and outside with LPA. Facility cited for staff with no face mask who answered the door and for staff not associated with facility. Facility has an infection control plan in place that they are following. The designated infection control leader is the administrator. They have one central entry point that 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 thermometer. Facility follows daily cleaning, sanitation of frequently touched common surfaces with disinfectants. COVID-19 signs were posted to promote hand washing, cough/sneeze etiquette and physical distancing. A written Emergency/Disaster plan was posted. Centrally stored medications were in locked cabinets. The temperature inside of the facility was 78.8 and the hot water was 120 degrees Fahrenheit, both of which were in the safe range. Toxic chemicals, over-the-counter medications, and sharp objects were inaccessible to the residents. Carbon monoxide and smoke detectors were functional. An administrator is on site more than the required 20 hour minimum each week to oversee business operations. Facility cited for fire extinguisher that had not been serviced since May 2020 and for not conducting Quarterly Emergency and Fire Drills. Facility cited with 1 Type A and 3 Type B deficiencies. Exit interview conducted and a copy of this report provided.