Routine inspection·October 3, 2022

On 10/03/2022, Licensing Program Analyst (LPA) Don Senaha and LPA Mario Leon conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with House Manager Veronica Gratil and was later joined by Administrator Marylou Namoc and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for one (1) bedridden and two (2) hospice. The facility is a single-story structure located in a residential neighborhood. The facility consists of the following: five (5) resident's rooms, two (2) bathrooms, a living room area, dining area and kitchen. There is an attached garage with access through the door prior to entering the facility or the garage door. The washer and dryer are located in the garage. There is a shaded patio area with ample seating area for the residents. LPAs and administrator toured the physical plant. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed. 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 between 112.1 F to 113.2 F in the kitchen and bathrooms. A comfortable temperature was maintained in the facility. Evaluation Report Continues on LIC 809-C LPAs observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies and toxins were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. Three (3) fire extinguishers were fully charged, one in the kitchen area, one in the hallway and one in the garage. First aid kit was available. Smoke detectors and carbon monoxide were operable. A review of Medication Administration Records (MAR) was maintained in order and accurate. During the visit, LPAs observed the facility infection control practices. LPAs observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed most staff wearing face coverings, LPA observed six (6) clients and three (3) staff present during the tour. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. Advisory Notes – Two (2) Technical Assistance were issued, please see LIC9102-AN. There was one deficiency cited during this inspection visit. See LIC 9099D page. An exit interview was conducted and a copy of this report was provided to Administrator Marylou Namoc.