Routine inspection·January 19, 2023

01/19/23, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit with a primary focus on Infection Control measures. LPA Leon met with the Administrator Gentry Richardson and LPA Leon explained the purpose of today’s visit. The facility is licensed to operate four (4) ambulatory Seniors ages 60 and above. 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 Leon 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 clean and operational. The water temperature measured above Title 22 regulations at 143.6 F in kitchen and 140.3 F in bathroom one (1). Storage areas for personal hygiene, toxins, and sharp objects were stored and not accessible to clients. Bleach and cleaning solution was located under the sink in bathroom two (2). 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. During the visit, LPA Leon observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA Leon observed staff were wearing face coverings. LPA observed the facility has at least a 30-day supply of Personal Protective Equipment (PPE), stored in detached garage . All mandated infection control posters were present throughout the facility. A review of staff and resident temperature logs were reviewed. The facility has a Mitigation Plan Report approved by CCLD on file. See LIC809-C LPA advised the Licensee, Gentry Richardson, to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. During today’s visit there were three (3) deficiencies observed, see LIC809-D. During today's visit there was one Technical Violation observed, see LIC9102. Exit interview held. A copy of the report was provided to Licensee Gentry Richardson