Routine inspection·June 9, 2022

At 12:00pm Licensing Program Analyst (LPA), Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by Dina Flores, who granted access to the facility. The Administrator arrived shortly after and LPA explained the reason for the visit. At 12:05pm, LPA conducted a tour of the facility and the following was observed: Infection control: Upon arrival, LPA was screened and asked to sign-in the visitors’ log. In addition, LPA was asked all infection control questions. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. LPA observed all trash can throughout the facility have fitted lids. Kitchen: LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. Fire extinguisher in the kitchen was last serviced on 11/05/2021. Medications: At approximately, 12:15pm LPA observed medications are centrally stored and locked in the kitchen cabinet and inaccessible to residents in care. Bedrooms: There are four (4) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational. Bathrooms: At 12:25am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 110.4°F. Continue on LIC809-C LPA observed appropriate grab bar and non-skid mats. LPA observed appropriate hand washing signs posted in each bathroom. Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 12:30pm they were tested and observed to be operational. Common Areas : The facility maintains a comfortable temperature at 78°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Outside areas: At approximately, 12:35pm LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. The spa is currently empty and was observed to be locked and appropriately fenced. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. The garage: The garage is currently being used for extra food, PPE and other supplies storage. Administrative: LPA collected Certificate of Liability Insurance and LIC.500. No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee