Routine inspection·November 4, 2021

Licensing Program Analyst (LPA) Brian Balisi arrived to this facility today to conduct a One (1) year Required inspection of this facility with emphasis on infection control practices and procedures. LPA met with Armine Arakelia and explained the reason for the visit. LPA inspected facility for fire safety, personal accommodations and services, and food service. All smoke alarms and combined carbon monoxide detectors were tested and function properly at this time. LPA observed two fire extinguishers to be fully charged and purchased in March 2021. Between 11am - 1:30pm LPA conducted physical plant tour of the facility with Administrator. All residents' bedrooms were inspected. Common areas, including living room and dining room appeared clean and were properly furnished. At 11:15am, LPA observed staff preparing food in the kitchen. The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperatures. There was a sufficient amount of perishable and non-perishable food at the facility and properly stored in the laundry room in the kitchen. Sharp objects were observed in the locked top drawer to the left of the fridge LPA observed cleaning supplies stored in a locked cabinet under the sink. Personal accommodations in resident bedrooms and bathrooms were observed for safety, privacy, and comfort. Each resident room was inspected and observed with all required furnishings and grab bars and nonskid surfaces in the bathrooms. Hot water temperature in  resident bathrooms were checked and measured between 108 - 113 degrees Fahrenheit (continued from LIC 809) Continued from 809 Entry/exits were free of obstruction.  The outdoor areas were observed to be clean and free of hazards supplied with proper furniture for outdoor use. At 12pm, LPA observed resident sitting outside with staff in the shaded patio area. The facility does have a gate that blocks entry in the driveway. LPA observed gate to be single action lock and be easily opened from inside the gate in case of emergency. The LPA spoke with Armine regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. The facility has 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 the master bedroom as a single isolation room if the facility has a confirmed case of COVID-19. COVID-19 testing is conducted weekly if anyone shows any symptoms. The facility’s policies and procedures as it pertains to infection control are adequate at this time. During the inspection LPA also conducted a record review of (4) resident record files and (4) staff record files. LPA observed all records appeared to be sufficient at this time. No deficiencies cited. Exit interview conducted. A copy of the report was issued and sent via email. .