Routine inspection·September 25, 2022

On 09/25/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with house manager Angel Culala and explained the purpose of today’s visit. Culala contacted administrator Heidi Skiles by telephone who was not able to join. The facility is licensed to operate for (6) residents of which (4) non-ambulatory and maybe (2) bedridden elderly residents ages 60 and above. The facility is approved for (4) hospice residents. Currently, the home has (2) hospice residents in care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) residents' rooms, two (2) common bathrooms, a living area, a dining area, a kitchen, and an outside area. LPA toured the physical plant. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be operational. The water temperature measured 109.0 F. A comfortable temperature of 75 degrees was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food maintained properly. There are (2) fire extinguishers that are fully charged at the facility and smoke detectors that are functioning. A working landline telephone remains available. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. 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 tests and residents' vaccination were conducted. The facility has an approved Mitigation Plan Report on file with CCLD. DEFICIENCIES: The LPA identified that 3 out of 5 stove burners were not operable and had to be lit with matches at 9:45 am. LPA identified the overhead stove hood range with unsanitary and unsafe. LPA identified at 9:47 am kitchen cabinets with sharp knives and hazardous cleaning solutions unlocked cabinets. LPA identified at 9:50 am the kitchen trash and bathroom trash bins unsanitary without lids. At 10:00 am, LPA observed in bathroom #2 a tub unsanitary and with uncleaned floor surfaces. The LPA observed staff #2 (S2) without a facial mask while assisting the resident. LPA observed medication administration records and daily temperature logs not maintained on daily basis. The (MARs) showed last 09/21/22 and temperature log 05/2022. Deficiencies are issued and an exit interview is conducted with Angel Culala. A copy of this report is provided along with the appeal rights.