Routine inspection·August 9, 2022

Licensing Program Analyst (LPA) Perry Scott and LPM Janae Hammond conducted an unannounced required annual inspection, with a focus on infection control, to the above RCFE. Upon arriving at the facility LPA/LPM met with administrator Maria Bravo and informed her of the purpose of the visit. LPA Perry Scott & LPM Janae Hammond and administrator Maria Bravo toured the physical plant. The facility is licensed to serve residents (age 60 and older) for (73) non-ambulatory and (7) bedridden residents. The facility has an approved Hospice Waiver for (7) residents. Currently, there are (49) residents and (30) staff employees. The facility is in a commercial area near various businesses. It is a three-story building. The first floor, LPA/LPM toured the Lobby, Administrative and Business office, Reception area, Conference room, Beauty Salon and Laundry room. The second floor holds the Kitchen, Dining room and Resident Bedrooms. The third floor includes the Lounge, Library, Physical Therapy room, Patio, and resident bedrooms. The bathrooms are clean and working properly with grab bars and non-skid mats. The hot water temperature was measured and is within Title 22 Regulations (110F). Adequate linen and personal hygiene supplies were in the laundry room and storage closets. Kitchen was checked and observed to be within Title 22 regulations. There was a sufficient supply of perishable and non-perishable foods in pantry, commercial refrigerator, and freezer. The first aid kit is fully stocked, and mandatory licensing postings are posted in a prominent place on all floors. The outdoor activity space is on the patio and the area is free of visible hazards and debris. There are shaded areas with ample seating and additional chairs for resident activities. The facility has a signal system. LPA tested smoke detectors and carbon monoxide detectors and found them to be operating properly. There are no security bars or weapons on the premises. LPA observed fire extinguishers on all floors, and they were fully charged and maintained; last inspected on 07/31/22. LPA reviewed resident files and staff records as required. All records are upheld and in compliance. The last disaster drill was conducted on 07/27/22. No deficiencies cited. Technical advisory note issued. Exit interview conducted and copy of report provided to administrator Maria Bravo.