Routine inspection·August 26, 2022

On 08/26/2022 at 9:50 am, Licensing Program Analyst (LPA) Agard conducted an unannounced required annual visit with a primary focus on Infectious Control measures using the new CARE inspection tool. Upon arrival at the facility, LPA Agard conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA verified that the facility has an approved mitigation plan report. The facility is licensed for six (6) residents of which all may be non-ambulatory and have dementia. Facility is approved for 3 hospice waivers. Currently, there are six (6) residents present during today’s visit. LPA met with Caregiver, Nayla Torres and both toured the inside and outside grounds of the facility. LPA was properly screened for Covid-19 symptoms and temperature was checked. During the tour, LPA observed the facility’s infection control practices. LPA observed a sanitizing station in the facility with visitor’s log. The facility’s designated visitation area is in the front room of the facility. The staff was observed with a face covering. LPA observed required covid postings throughout the facility. All rooms (7) were inspected. All rooms are single occupancy and one room is used for the caregivers. Bed linen were sufficient in amount, mattresses were observed in good condition, adequate lighting was provided, storage for client personal belongings was observed. Furniture in the living room observed to be in good condition. There are no weapons on the premises. Residents bathrooms were checked, toilets and water faucets worked properly. The water temperature measured within range. A comfortable temperature was maintained in the facility. LPA toured the kitchen area and observed a supply of perishable and a 7-day of non-perishable food. Cleaning supplies were observed locked. Centrally stored medications were observed stored in their originally received containers and observed locked and inaccessible to residents in care. Two fire extinguishers were observed fully charged. One in the kitchen and one in the hallway. cont. on 809 Outside grounds were toured, no bodies of water were observed. Walkways around the home were generally clear of hazards. Common areas were observed clean; All doorways were free of obstruction. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided.