Routine inspection·March 25, 2022

Licensing Program Analyst (LPA) Salia Walker arrived at the facility unannounced to conduct a required annual visit at 9:15 a.m. This annual had a specific emphasis on infection control practices and procedures. Upon entry, the LPA met with Executive Director Adrienne Craig-Aziz, and explained the reason for the visit. The LPA toured the physical plant areas inside and outside, with Executive Director Adrienne Craig-Aziz at 9:50 a.m., to ensure there are no health and safety hazards. Kitchen: The kitchen area appeared clean and sanitary. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Food in the refrigerator/freezer were properly labeled. All knives and cleaning supplies were observed to be properly stored and locked at time of visit. Hot water measured 119.2 degrees Fahrenheit at 10:05 a.m. Bedrooms: The LPA observed resident bedrooms which were furnished with clean linens, appropriate furnishings, and sufficient lighting. Restrooms: Each private restroom is designed as a full restroom. The resident bathrooms and shower rooms are properly equipped with grab bars and shower rooms are equipped with non-skid material. Hot water was randomly tested throughout the facility inspection; temperature ranged between 113.4 and 116.1 degrees Fahrenheit. Common Areas: Fire extinguishers were observed throughout the facility, and were fully charged with a service date of 1/7/2022. The building is a five-level facility, which consists of offices, medication rooms, laundry rooms, multiple supply closets, beauty parlor, staff room, kitchen/dining room, fitness room, theater, and activity/lounge rooms. The LPA observed common areas, including furniture and activity equipment, to be clean and in good condition. Additional food storage rooms contain additional nonperishable, and perishable food items on the first level of the facility. Continue on LIC809C. . Surrounding Grounds: Entry/exits were free of obstruction. Medication room: First aid kit, medications, and medication records are kept in the medication room. The medication room(s) contain a separate dispenser for all sharps. BACKYARD: The patio has covered outdoor areas equipped with furniture for resident use. There were no bodies of water noted. INFECTION CONTROL: During today’s visit, the LPA spoke with the Executive Director regarding the facility’s infection control practices. Upon entry, the facility had a central entry point for symptom screening, temperature checks, and 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 does not have a confirmed case of COVID-19 at this time and the LPA reviewed facility’s policies and procedures as it pertains to infection control. Exit interview conducted, and a copy of the report was provided.