Routine inspection·November 28, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 9:45 a.m. The LPA met with Administrator Galina Melkonyan and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN : Knives and chemicals were locked inaccessible in the kitchen cabinets. Appliances were in operable condition. The facility had a sufficient supply of perishable and non-perishable food. BEDROOMS : Bedrooms were furnished appropriately; beds were observed with clean linens and rooms had sufficient lighting. All direct exits were clear, and no obstructions were noted. RESTROOMS : Restrooms were clean and sanitary with grab bars and non-skid surfaces. At 10:00 a.m., water temperature measured at 115.5 F. Restrooms were fully stocked. Hand-washing signs were observed in all restrooms. FILES: The LPA reviewed resident files at 10:05 a.m. All resident files were in order at the time of the visit. The LPA reviewed staff files at 10:35 a.m. All staff files were in order at the time of the visit. COMMON SPACES : There was a hallway closet with extra linens and towels. Smoke and common monoxide detector were tested at 11:00 a.m. and were operable at that time. Fireplace in the living room was covered. Medications and files were locked and inaccessible in the kitchen cabinet. Fire extinguisher was fully charged. The backyard had furniture and a covered area for resident use. The garage was attached but is kept locked. The washer and dryer were in the garage, along with additional supplies. INFECTION CONTROL: There was a central entry point for screening and temperature checks. The LPA was appropriately screened upon entry into the facility. Staff were wearing appropriate face coverings. Infection Control signs were observed at the entrance into the facility. The facility’s cleaning protocol was sufficient. There was record of staff and resident vaccinations. The LPA discussed changes around testing, visitation and vaccine requirements. The facility's procedures as it pertains to infection control are adequate. No deficiencies issued at this time. Exit interview conducted. A copy of the report was issued.