Routine inspection·February 22, 2022

02/22/22, Licensing Program Analysts (LPA) Gail Johnson conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA Johnson met with the Administrator Gentry Richardson. LPA Johnson explained the purpose of today’s visit. The facility is licensed to operate four (4) ambulatory Seniors ages 60 and higher. Currently, four clients reside at this facility. The facility is a one-story structure located in a residential neighborhood. It consists of the following: three (3) bedrooms (three client bedrooms), one (1) staff office room (non-staff bedroom), two (2) bathrooms, living area, dining area, kitchen, outside area with table, umbrella, and chairs. LPA Johnson toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for client 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 117.2 degrees F. Storage areas for personal hygiene, cleaning supplies, toxins, and sharp objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Two fire extinguishers were charged, smoke detectors and carbon monoxide detectors were operable. Evaluation Report Continues on LIC 809-C During the visit, LPA Johnson observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA Johnson observed staff was 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 resident temperature logs were reviewed. The facility has a Mitigation Plan Report approved by CCLD on file. An exit interview was conducted with Gentry Richardson. A copy of this report was printed and provided to Gentry Richardson. End of report