Routine inspection·May 23, 2022

On 05/23/22 at 11:30 a.m Licensing Program Analyst (LPA) Joscelyn Martinez arrived at the facility to conduct an unannounced annual inspection. Upon arrival LPA met with staff and then met with designee Administrator Anabelle Pascua and then with Administrator Thresiamma Mathew. The purpose of the visit was explained. Entrance interview conducted. A physical plant tour was conducted at 11: 35 a.m and the following was observed: Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Facility has sufficient PPE supplies for more than 30 days. LPA was asked to sing in and staff conducted a covid screening upon arrival. Food Inspection/Kitchen: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers in the kitchen. Sharps are centrally stored in a locked area. Smoke detectors/carbon monoxide are located throughout the facility and are dual hardwired. Smoke detectors and carbon monoxide detectors were tested at approximately 11:49 a.m. and appear to be functional. Fire extinguisher has a purchase date of 04/11/2022. Common Areas: All common areas were observed to be clean and properly furnished. Facility maintains a comfortable temperature of 72.0 F. Medication are centrally stored in a closet located in the hallway. Resident Rooms: Facility has seven (7) bedrooms which of six (6) are designated for resident use. Facility has two live-in staff. All seven (7) bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the residents. All rooms have adequate lighting. Continue on 809-D Bathrooms: There are four (4) bathrooms in the facility of which three (3) are designated for resident’s use. LPA observed all bathrooms to be clean and free of any hazards. The hot water was tested and measured 113.7 F, which is in regulation. All trash cans located in the bathrooms had tight fitting lids. There is an attached storage area that is used for storage of food and a laundry area. Outside: LPA toured the outside area and observed appropriate outdoor furniture with a shaded covered area for residents. There is a shack located outside that is used for additional storage. There are no bodies of water. No deficiency cited. Exit interview conducted. Report signed and delivered.