Routine inspection·September 18, 2022

On 09/18/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with administrator Muqeet Dadabhoy and explained the purpose of today’s visit. The facility is licensed to operate for (6) ambulatory and may be (6) bedridden elderly residents ages 60 and above. The facility is approved for (6) hospice resident. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) residents' rooms, two (2) common bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, and an outside patio area. LPA toured the physical plant with Dadabhoy. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be operational. The water temperature measured 108.6 F. A comfortable temperature of 74 degrees was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers are fully charged, and smoke detectors operable. A working landline telephone remains available. A review of Medication Administration Records and Fire Drill are maintained and in order. The last fire drill was conducted on 09/03/22. Evaluation Report continues LIC 809-C INFECTION CONTROL: During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed staff wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff and residents' vaccination along with daily temperature checks were conducted. The facility has an approved Mitigation Plan Report on file with CCLD. DEFICIENCIES: LPA identified the 9:25 am kitchen stove rear burner not working. At 9:27 am LPA identified a sharp scissor in bathroom #1 and bathroom #2 had a disinfectant cleaning solution under the cabinet sink. At 9:30 am LPA identified gardening shears laying on a small outdoor table adjacent to the garage accessible to residents in care. D e fici encies are issued and an exit interview is conducted with house manager Chrisela De Leon. A copy of this report is provided along with the appeal rights.