Routine inspection·May 5, 2022

At 11:27 a.m., Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted and screened by staff. The Administrator was not available during the time of the visit. At 11:29 a.m., the LPA spoke with the Administrator on the phone, and the Administrator authorized staff, Tatevik Grigoryan to sign the report. This annual had a specific emphasis on infection control practices and procedures. At 11:35 a.m., the LPA, along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: At 11:35 a.m., the LPA observed the kitchen/dining area. Knives are stored in a locked cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:43 a.m., hot water measured at 105.5-degree Fahrenheit. Medications and first aid kits are located in a locked kitchen cabinet and drawer. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away. At 12:00 p.m., the LPA observed a resident reading a book at the dining table. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed puzzles and books in the common area. The LPA observed the fire extinguisher to be fully charged and last serviced on 05/27/2021. Flashlights were observed throughout the facility. Upon entry, signs are posted to promote handwashing, cough/sneeze etiquette, and physical distancing. At 11:46 a.m., fire alarms and carbon monoxide detectors were tested and functioned properly. The laundry units are located inside a hallway closet. Continued on LIC 809-C. BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 11:44 a.m., hot water measured at 112.8-degree Fahrenheit. Night lights were present in the hallways and passages. OUTDOOR SPACE: At 11:39 a.m., the LPA observed the backyard, which has a covered outdoor area for resident use. There is a gate on the side of the house that is single latched designated for an emergency exit. Passageways were free and clear from obstruction. INFECTION CONTROL: During today’s visit, the LPA spoke with the staff 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. LPA observed a 30-day 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 has not had a confirmed case of COVID-19 at this time; however, the facility’s policies and procedures as it pertains to infection control are adequate. No deficiencies were observed at this time. Exit interview conducted with staff. Report issued and a copy of the report was emailed to the Administrator.