Routine inspection·March 8, 2022

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced Required One (1) year Infection control inspection to the facility. LPA met with Licensee Linda Morales and explained the reason for the visit. A tour of the physical plant was conducted at 11:00am and the following was noted: There is only one entrance being utilized at the facility, there are required posters posted at the main entrance. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, and masks are available. LPA was screened upon entry. The facility had submitted and approved Mitigation Plan. Signs to wear a mask and other COVID-19 prevention protocol signs were posted outside the door. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area in the backyard. The facility has sufficient stock of PPE in the garage. The facility has six (06) bedrooms and four (04) bathrooms currently occupying six (06) residents. All rooms are private rooms. (continued on LIC 809-C Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 75 degrees. The smoke detectors were observed to be operational. There is a carbon monoxide detector in the facility. Fire extinguishers are located throughout the facility. The backyard of the facility has outdoor furniture with a covered shaded area for residents. There is a body of water at the facility. The swimming pool is gated and locked. It is inaccessible to residents. Laundry area is located inside a closet, laundry detergents, cleaning agents and other toxins are stored in a locked cabinet. Food Service/Kitchen area was sufficiently stocked with two (2) days of perishable and seven (7) days of non-perishable food. Knives and sharp objects were observed to be locked and inaccessible to residents. The residents rooms are adequately furnished with appropriate furniture and lighting system. The bathrooms were checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the showers and toilets. The hot water temperature was measured at 106.2 degrees. There was enough clean linen available in stock in the cabinets. Medications-LPA observed medication in the kitchen cabinet to be locked and inaccessible to residents. There is one ( 01) complete first aid kit. Exit interview conducted. A copy of this report was issued and signature obtained.