Routine inspection·June 22, 2022

On 6/22/2022 at 2:35 PM, Licensing Program Analyst (LPA) Leslie Ibo conducted an infection control annual inspection and explained the purpose of the visit with Administrator Lorica Hipolito. LPA observed 1 resident relaxing in the living room while the other 4 residents were resting in their bedrooms. LPA inspected the facility inside and outside. LPA observed COVID-19 posters posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Pathways were observed to be free of obstruction and fire hazards. Infection control designated leader is the Administrator. There was at least 7 days of nonperishable and 2 days of perishable foods. Emergency food supplies were observed stored in the garage. Facility room temperature was maintained at 74 degrees Fahrenheit. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. LPA strongly recommend to Administrator to conduct mandatory N95 FIT testing as soon as possible, LPA also requested for proof of n95 fit testing for all staff. 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. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiency cited during the visit. Exit interview conducted. Copy of this report provided.