Routine inspection·September 8, 2022

On 9/8/2022 at 4:05PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Kimarley Whyte, Caregiver, and explained the purpose of the visit. Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs were posted on the front door. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, back yard, and kitchen. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. Hot water temperature in the shared clients’ bathroom was measured at 115.8 degrees Fahrenheit. Fire extinguisher last serviced on 1/5/2022. There is a minimum of 2-day perishables foods and 7-day non-perishables foods. During record review, LPA observed visitors sign-in log. LPA observed facility has a copy of the mitigation plan on file. LPA observed food and paper supplies are sufficient. Continued on LIC809C, Continued from LIC809. LPA request the following documents to be submitted to CCLD by 9/15/2022. LIC 9182 Infection Control Plan LIC 610E Emergency Disaster Plan A copy of Administrator Certificate LIC308 Designation of Responsibility LIC500 Personnel Record No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided.