Routine inspection·October 8, 2021

At 10:00 am, Licensing Program Analyst (LPA) Melissa Ruiz conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by staff (S1) who granted access to the home and later met with licensee Jonathan Nepomuceno. This is a 5-bedroom, 2-bathroom single story residential care facility for the elderly. A physical tour was conducted at 10:20 am and observed the following: Infection control: Proper signage was observed outside the home and along the main entrance of the facility. Upon entrance, staff took LPA's temperature and was asked to sign-in the visitor’s log but was not asked any infection control questions. Hand sanitizer was available, and all trash cans were observed to have closed tight fitting lids. Sufficient PPE supplies were observed. LPA reminded licensee to review their mitigation plan with all staff to ensure all visitors are thoroughly screened upon entry. Food Inspection: 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, cleaning supplies and medications are centrally stored in a locked cabinet in the kitchen. Smoke detectors/carbon monoxide were located throughout the facility. At 10:45 am, they were tested and are functional. Facility maintains a comfortable temperature of 76.0 F. Resident room s: There are four (4) bedrooms designated for resident use, one (1) bedroom is designated for live-in staff. All bedrooms are properly furnished, cleaned and have appropriate bedding and linens. Bathrooms: The hot water temperature measured at 108.8 F. Towels and washcloths are not shared. The garage is attached to the home and is used for storage, and a laundry area. Extra towels and linens were readily available. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water. No deficiencies cited. An exit interview was conducted. A copy of this report was provided. Exit interview conducted.