Routine inspection·August 24, 2023

On 08/24/23 a t 08:30 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. The Administrator, Araceli Emerick (ADM) hol ds a standard certificate (#6047865740) exp. 04/10/24 . The facility’s fire clearance was approved for six (6) non-ambulatory residents; two (2) may be bedrid den. Facility has an Infection Control Plan (ICP). LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, masks, face shields, gowns, gloves, COVID-19 signage, and a visitor sign-in log. LPA toured the facility including but not limited to common areas, bathroom, kitchen, garage, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. Medication and sharps were locked, and there was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and garbage cans. There is a surplus of PPE centrally stored inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 109.9 degrees Fahrenheit (F) and the facility's temperature was 71 degrees (F). First aid kit complete. Continued on LIC809C... ...continued from LIC809. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was observed full and serviced 04/26/23. Emergency Disaster Plan is updated. Safety drills were last conducted 06/2023 and are rotational between AM and PM schedules monthly. LPA reviewed five (5) staff records, and all staff have criminal record clearances. Six (6) residents records were reviewed and are complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided to ADM.