Routine inspection·January 18, 2023

Licensing Program Analyst (LPA) Mario Leon conducted an unannounced required 1- year visit with the primary focus on Infection Control measures. Upon arrival at the facility, LPA Leon was met by Semira Bushura and later by Administrator Precious Dennis. LPA was properly screened for COVID-19 symptoms and temperature was checked. LPA met with Administrator Precious Dennis and explained the purpose of today's Annual Inspection. There are currently four (4), Residential Care Facility for the Elderly (RCFE) consumers in placement. The facility is a single-story home located in a residential neighborhood. LPA Leon and Administrator Ms. Dennis toured the facility which consisted of the following: A living room, four (4) bedrooms, two (2) bathrooms, one (1) half-bathroom, dining room, kitchen, laundry area, detached garage, shaded area, indoor/outdoor activity areas. Bedrooms #1-4, and bathrooms #1-2 are designated for the residents. LPA and administrator toured the physical plant. There are no bodies of water or firearms/ammunition on the premises. All client rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 106.8 F in the kitchen and 105 F in bathroom one (1). A comfortable temperature is maintained in the facility, at 77.1 F. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available which is stored properly. Fire extinguishers were charged, smoke detectors and Carbon Monoxide were operable. See LIC809-C During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations ( Located in common areas and restrooms). LPA observed staff were wearing face coverings, an isolation room and required postings were throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. During today’s visit there was one deficiency observed, see LIC809-D. Exit interview held. A copy of the report was provided to Precious Dennis.