Routine inspection·March 9, 2022

On 03/09/22 Licensing Program Analyst (LPA) Jade Jordan Conducted an Unannounced Annual Inspection, with an emphasis on Infection Control. LPA was met by Facility Administrator Christina Atencio and the purpose of the visit was explained. Upon Entry LPA observed Covid-19 postings on the exterior of the facility, and was screened for Covid 19, including a Temperature check. The Facility is licensed for 6 non-ambulatory residents. The interior consists of 4 resident bedrooms of which 1 is shared, 1 Staff Bedroom, 1 Living room, 1 dinning room, 1 den, Laundry space, 2 bathrooms , and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature properly measured at 111.0. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Administration certificate expires 11/13/2022. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. All cleaning solutions, hazardous items, and medications were securely locked. A fire extinguisher was available and fully charged. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. The facility is following their mitigation plan. LPA observed a minimum of 30 day supply of PPE, which included N95 masks, gowns, face shields, surgical masks, hand sanitizer, soap, disinfectant, paper towels trash can with lid. Fit testing was completed by staff on 04/02/21. All staff a fully vaccinated and have documentation in their staff files. A daily Covid log is taken for visitors ,staff , and residents. No deficiencies were noted during this visit. A copy of this report was provided, and an exit interview was conducted.