Routine inspection·November 28, 2022

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced One (1) Year Required Infection Control visit for this facility at 10:30 am. LPA temperature checked upon entry and care staff disclosed administrator will arrive in approximately 10 minutes Administrators arrived at the facility at approximately 10:45 am and LPA disclosed the purpose of the visit. LPA conducted a tour of the physical plant at 10:50 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility has a total of four (4) bedrooms and three (3) bathrooms with two (2) bathrooms designated for clients’ use. There is an additional room for staff use. Smoke detectors and Carbon Monoxide detector were tested and function properly. All exit alarms on doors were tested and were observed to function properly. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the five (5) clients currently residing there. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. The freezer is stocked with meats and frozen vegetables. Sharp objects are stored in a locked staff room. The clients’ medications and first aid kit are locked in cabinets under kitchen island and observed to be inaccessible to clients'. The fire extinguisher is located in kitchen near medications attached to wall. Fire extinguisher observed to be charged. Bedrooms: The resident bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each client. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: Each bathroom has posted “wash your hands” signs and the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured for the two (2) bathrooms to (Cont to 809C) (Cont. from 809) ensure it is within the required range for residents’ comfort and safety. The water temperature range was between 105.3- and 105.1-degrees Fahrenheit. Facility maintains a comfortable temperature for clients in care. Common areas were observed for the ability to safely serve the needs of clients. These included the living room, family room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed furnished appropriately. LPA observed a sufficient supply of linens, toiletries and backstock in three (3) hallway closets. Laundry area located on covered car port and appliances observed to be functional. Toxins stored and locked in staff room observed to be inaccessible to clients. An adequate supply of PPE’s stored in staff room. There is a full pool and empty jacuzzi in the backyard. Both the pool and jacuzzi are fenced and observed to be locked and inaccessible to clients. Facility grounds were free of hazards. There were no immediate health and safety hazard observed during the day of inspection. Exit interview conducted and copy of report given.