Routine inspection·April 12, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit, which has an emphasis on infection control practices and procedures. The LPA met with Administrator Emil Siapno 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 community is in compliance with Title 22 Regulations. KITCHEN: Knives and sharp objects are stored in a locked cabinet in the kitchen. Cleaning supplies are stored locked and inaccessible to residents. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Resident bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Bathrooms were fully stocked with soap and paper towels. Appropriate hand-washing signs were observed the bathrooms. Staff and the LPA tested the water temperature, and the hot water temperature measured within range. COMMON SPACES: The LPA observed COVID-19 signage that promoted hand hygiene, physical distancing, and cough/sneeze etiquette. At the time of the visit, living room and dining room furniture was observed to be in good condition. All exits have functioning auditory devices. The LPA observed the required licensing postings listed throughout the facility. The backyard has a covered outdoor area equipped with furniture for resident use. The side gate door is self-latching. There were no bodies of water noted. The garage is locked. The garage is where the washer and dryer are held, including additional nonperishable and perishable food items. The LPA observed an adequate supply of Personal Protection Equipment (PPE) stored in the garage and the facility is able to obtain additional supplies as needed. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator 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’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, as each resident has their own room. This facility has records of staff and resident vaccinations. Staff are up to date regarding guidelines pertaining to visitation and vaccine requirements. The facility has previously managed COVID-19 active cases and the facility complied with all requirements set forth by the local health department and licensing. The facility’s policies and procedures pertaining to infection control were adequate. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.