Routine inspection·September 11, 2024

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced required 1- year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA was properly screened for COVID-19 symptoms and temperature was checked. LPA Bunker met staff member LVN Vida Zelaya and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report. There are currently five (5), residents in placement. The facility's annual fees are current. Staff member Ms. Vida and LPA Bunker toured the facility. The facility is a two-story building located in a residential-commercial neighborhood with, a dining room, 3 bedrooms, 3 bathrooms, and an indoor/outdoor activity area. Bedrooms #1-3 are designated as the client's bedrooms. The residents' bedrooms had the required furniture, bed linens, and closet/drawer space to accommodate them comfortably. Resident bathrooms were checked. The toilets and water faucets worked properly, the grab bars were secure, the shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries, and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Food and meals are prepared in the main kitchen located in the skilled nursing facility and are brought to the residents on carts. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly, and the fire extinguisher was fully charged. During the visit, LPA observed the facility's infection control practices. LPA observed a screening station with sanitizer at the facility entrance and additional sanitation supplies in the nursing office that were inaccessible to the residents. LPA observed a sign-in sheet and temperature log for visitors. LPA's temperature was checked during the visit. LPA observed staff wearing masks. Each resident has their own individual room for isolation and required postings are throughout the facility. Due to time constraints, LPA was unable to complete the visit and will return back at a later date to complete the visit.