Routine inspection·April 14, 2022

On 04/14/2022 at 2:15 PM, Licensing Program Analyst (LPA) J. Sampair conducted an unannounced infection control and required one year inspection. Upon arrival, LPA was greeted by staff S1. LPA explained the purpose of the visit to S1 and toured the facility inside and outside. Licensee Tayyaba Chaudhry arrived at 2:45 PM and toured the facility with the LPA. LPA observed staff wearing face masks during visit. LPA discussed the posted emergency disaster plan (LIC 610E) and mitigation plan (LIC 808) with Ms. Chaudhry. LPA was screened for Covid-19 and the staff use of the visitor's log, hand sanitizer, gloves, face masks and no touch temperature probe for screening. Routine symptom screening (+/-) temperature and symptom check are done at entry for all staff, residents and visitors. LPA observed COVID-19 signs posted in common areas to promote hand washing, cough/sneeze etiquette, and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff and residents. During the visit, pathways were observed to be free of obstruction and fire hazards. Last Fire drill was conducted on 01/17/2022. Facility room temperature was maintained at a comfortable 73.8 degrees Fahrenheit and the hot water temperature was 105 degrees Fahrenheit. The problem identified at the facility, however, were the numerous safety devices in need of repair that did create a Type A citation, such as the child proof lock under kitchen sink where cleaning solutions stored that could be opened, the door on an exterior storage building with a malfunctioning door handle lock, and dead batteries on the auditory signal device for the sliding glass door to the back yard. Due to a computer problem, the exit interview was conducted with Licensee Chaudhry on 04/15/2022 when a copy of this report was provided