Routine inspection·March 7, 2023

At 09:30am Licensing Program Analyst (LPA), Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by the Administrator, who granted access to the facility and LPA explained the reason for the visit. At 9:35am, LPA conducted a tour of the facility and the following was observed: Infection control: The facility had submitted and approved Mitigation Plan and Infection Control Plan . 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. LPA observed all trash can throughout the facility have fitted lids. Kitchen: At approximately, 10:00am LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. There is a fire extinguisher in the kitchen and it was last serviced on 03/21/22. Medications: At approximately, 10:20am LPA observed medications are centrally stored and locked in the closet, by the kitchen area and inaccessible to residents in care. LPA also observed a First Aid Kit complete with the required items as per Title 22 Regulations. Bedrooms: There are four (4) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational. Continue on LIC809-C Bathrooms: At 10:30am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 109.2°F. LPA observed appropriate grab bar and non-skid mat. LPA also observed appropriate hand washing signs posted in each bathroom. All trash cans in bathrooms had fitted lids to protect from cross contamination. Common Areas : The facility maintains a comfortable temperature at 70°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Outside areas: At approximately, 10:45am LPA toured the outside area of the facility. Facility has a swimming pool that is fenced all around with a gate and kept locked at all times. The fence surrounding the swimming pool is approximately 5 feet high all around its parameters. LPA also observed a clean covered patio and backyard furniture to accommodate the six (6) residents . LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. The garage: Laundry area is located in an attached garage and kept locked and inaccessible to residents. Extra PPE supplies and food storage was also observed. Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 11:00am they were tested and observed to be operational. At 11:30am, LPA reviewed records of two (2) residents and three (3) staff. Resident and staff records appeared to be complete and updated. Administrative: LPA collected Certificate of Liability Insurance and LIC.500. No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.