Routine inspection·March 1, 2022

At 11:35am Licensing Program Analyst (LPA), Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by staff, Norma Portunes, who granted access to the facility. Administrator was contacted over the phone and LPA explained the reason for the visit. LPA conducted a tour of the facility with the Staff and the following was observed: Infection control: Upon arrival, LPA was screened and asked to sign-in the visitors’ log. In addition, LPA was asked all infection control questions. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Staff stated they have sufficient PPE supplies. LPA observed all trash cans throughout the facility have fitted lids to protect from cross contamination. Kitchen: At approximately, 11:58am 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. Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 12:20pm they were tested and observed to be operational. 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. Bathrooms: At 12:05pm 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 106.1°F. LPA observed appropriate grab bar and non-skid mats. LPA observed appropriate hand washing signs posted in each bathroom. Continue on LIC809-C Common Areas : The facility maintains a comfortable temperature at 71°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. First fire extinguisher was located in the kitchen and second in the dining room area and both were last serviced on 02/16/2022. Outside areas: At approximately, 12:25pm LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. The garage: Laundry is located in a detached garage and kept locked and inaccessible to residents. Extra PPE supplies and food storage was also observed. Medications: At approximately, 12:00pm LPA observed medications are centrally stored and locked in the kitchen cabinet and inaccessible to residents in care. Administrative: Certificate of Liability Insurance, and LIC.500 will be emailed to LPA.. No citations issued during this visit. Exit interview conducted. Copy of report emailed to the Administrator.