Routine inspection·August 17, 2021

Licensing Program Analyst (LPA) Spencer conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA was greeted by administrator Tina Arutyunan and discussed the purpose of today's visit. This single-story home contains six (6) bedrooms, three (3) bathrooms, a living room, kitchen, dining area, backyard, and attached garage. The following was observed/inspected: The facility had a universal entrance screening area including a thermometer, hand sanitizer and sign-in sheet. A temperature check log was present but not updated. COVID-19 signage was placed in several areas including entrance, hallway, and bathrooms. Facility maintained a 30-day supply of PPE. One (1) out of three (3) bathrooms were in disrepair including the toilet, sink, and shower. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. Cleaning solutions and sharps were locked and inaccessible. Water temperature was measured in kitchen/bathrooms and were within required 105-120 degrees F. Each room contained required furniture including bed, dresser, night stand, lamp and chair. Medications were locked and centrally stored. Medications were reviewed for four (4) residents and facility did not maintain a 30-day supply of medications. Staff wore face masks throughout their shift. Smoke detectors/carbon monoxide detectors were present and operable. At least one (1) fire extinguisher was observed to be fully charged and serviced. Client files were inspected and emergency contact information was up to date. Administrator qualifications were checked and administrator certificate expires on 4/2023. Obstructions were observed in the outdoor area as two bed springs and headboards were placed there and were not properly discarded. Pursuant to Title 22, deficiencies were cited on the attached 809D. An exit interview was conducted and a copy of this report and appeal rights were provided to the administrator.