Routine inspection·October 21, 2021

At 11:25am Licensing Program Analysts (LPAs), Angela Panushkina and Shira Stamps conducted an unannounced annual inspection at the facility mentioned above. LPAs were greeted by staff, Jubilee Egid, who granted access to the facility. At approximately, 11:40am Administrator, Fabiola Igid, arrived and physical tour was conducted. LPAs observed the following: Infection control: LPA reviewed the facility mitigation plan (approved on 03/06/2021) to make sure licensee was following current infection control recommendations. Upon arrival, LPA team was screened and asked to sign-in the visitors’ log. In addition, LPAs were asked all infection control questions. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. Kitchen: At approximately, 11:25am LPAs toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. Appliances in the kitchen appeared to be functional . All knives and sharp objects were locked and inaccessible to residents in care. Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 11:56am they were tested and observed to be operational. Bedrooms: There are four (4) out of five (5) bedrooms designated for residents' use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms are in a good repair, were tested and observed to be operational. Bathrooms: At 11:45am LPAs observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 111.9°F, at approximately, 11:52am. LPAs observed appropriate grab bars and non-skid mats as well as hand washing signs posted in each bathroom. All trash cans had fitted lids. Common Areas : The facility maintains a comfortable temperature at 72°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Laundry area was kept clean and all detergents kept locked. There are fire extinguishers, in the kitchen area and the hallway and were last serviced on 06/02/21. Outside areas: At approximately 11:58am, LPAs toured the outside area of the facility. LPAs observed appropriate outdoor furniture, with a covered shaded area for clients. LPAs discussed the importance of maintaining the care and supervision to meet the needs of residents There are no bodies of water. The garage: Facility has an attached garage that is used for extra PPE supplies and food storage. LPAs observed garage being locked and inaccessible to residents. Medications: At approximately, 11:43am LPAs observed medications are centrally stored and locked in the hallway cabinet and inaccessible to residents in care. Administrative: LPA collected Certificate of Liability Insurance, and LIC.500. Annual fees are current . Exit interview conducted and copy of this report was provided to the Administrator.