Routine inspection·September 28, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with Administrator Designee Marte Galang explained the reason for the visit. The LPA and staff toured the facility to ensure there are no health and safety hazards and to ensure compliance with regulations. KITCHEN : Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS : Bedrooms had appropriate furniture, clean linens and sufficient lighting. Rooms were clean and clear of obstructions. There was not a staff room; facility has awake staff only. RESTROOMS : The restrooms were clean and sanitary with grab bars and non-skid surfaces. Water temperature measured at 114.1 F. Restrooms were stocked with supplies. Hand-washing signs were observed in all restrooms. COMMON SPACES : Medications, staff and resident files are locked inaccessible. The fire extinguisher was fully charged and serviced 3/2022. The backyard and exterior area of the facility had furniture and a covered area for resident use. No obstructions observed in the exterior or interior. There is an in-ground pool, which was fenced and drained of water. Garage and shed are detached and had additional storage items and supplies. INFECTION CONTROL : There is a central entry point for screening and temperature checks. Staff were wearing appropriate face coverings. Signs were posted that promoted hand hygiene, physical distancing, and cough/sneeze etiquette at the front door and the kitchen. The facility’s cleaning protocol is sufficient. There is record of staff and resident vaccinations. There was a sufficient supply of PPE. The facility can designate a room to isolate persons if there is a confirmed case of COVID-19. Department Provider Information Notices (PINs) are posted in the dining area. Staff are up to date regarding guidelines around visitation and vaccine requirements. The policies and procedures pertaining to infection control were adequate. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.