Routine inspection·September 14, 2022

On 9/14/22 at 4:40PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct infection control inspection. LPA met with staff (S1) and administrator (ADM) who authorized S1 to act on her behalf and sign the reports. LPA explained the purpose of the visit with S1 and ADM. LPA observed 2 staff wearing face masks and one resident sitting in the kitchen area while the other 4 residents were relaxing inside their bedrooms. LPA toured the facility including but not limited to common areas, kitchen, bedroom, and shared bathrooms. to front entrance, screening station, hand washing stations, common areas. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizer were observed at the screening station. Cough/sneeze etiquette, social distancing signs were posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPE maintained at a central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 09/15/22: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610E- Emergency/Disaster Plan including infection control plans · Evidence of Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.