Routine inspection·January 31, 2022

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit at 1:10 p.m. LPA was greeted and screened by Licensee. This annual had a specific emphasis on infection control practices and procedures. At 1:21 p.m. LPA and Licensee began the physical plant tour inside and outside to ensure there are no health and safety hazards and facility is in compliance with the Title 22 Regulations. KITCHEN: At 1:22 p.m., LPA observed the kitchen area. Knives are stored in the locked kitchen cabinet. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:35 p.m., kitchen hot water temperature measured at 105.3-degree Fahrenheit. Medications are located in a locked kitchen drawer. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in a kitchen cabinet. BEDROOMS: At 1:26 p.m., LPA observed multiple resident bedrooms. Currently the facility has no residents, but the rooms are furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Passageways were free and clear from obstruction. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skids mats. At 1:36 p.m., LPA observed hot water to be measured at 108.0-degree Fahrenheit. COMMON AREAS: At 1:29 p.m., LPA observed common areas to be relatively clean and properly furnished. Required signs such as the license and complaint poster are posted near the front entrance. Signs are posted throughout facility to promote handwashing, cough/sneeze etiquette, and physical distancing. LPA observed the fire extinguisher to be fully charged and purchased on 03/04/2021. Continued on LIC 809C. Continued from LIC 809C. OUTDOOR SPACE: LPA observed the backyard, which has a covered outdoor area for resident use. The facility has a side gate with a latch for emergency exits. INFECTION CONTROL: During today’s visit, the LPA spoke with Licensee regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and a sanitation station. The LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate. Between 1:12 p.m. – 1:20 p.m., LPA conducted Infection Control mitigation module with Licensee. No deficiencies cited. Exit interview conducted. A copy of the report was provided via email.