Routine inspection·November 4, 2022

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 11/04/2022 to conduct a required - 1 year inspection. LPA was greeted and screened by staff. Administrator, Angelina Simi arrived shortly. This inspection is focused on the infection control practices and procedures of this facility. LPA toured building and grounds which were found to be clean and in good repair. Facility currently has six residents. Resident bedrooms are located on the first floor. The amount of fresh and non-perishable food was within regulation. Fire extinguishers inspected were charged and current. Toxins were locked and secured. Medications were centrally stored and locked. Carbon monoxide and smoke detectors were present and operational. Walkways were cleared and unobstructed. High touch surface areas are disinfected daily. LPA observed COVID postings at the front entrance. Staff and residents are all fully vaccinated. Administrator has necessary Personal Protective Equipment to support a resident in isolation. LPA and administrator discussed resident/staff record keeping. Staff have been given infection control training. LPA requested the following documents be submitted to Community Care Licensing within 30 days of today's inspection: LIC 308 Designation of Administrative Responsibility Liability Insurance LIC 610 Emergency Disaster Plan Register of Clients LIC 500 Personnel Report No deficiencies observed during today's inspection. Exit interview conducted with administrator and a copy of this report emailed to the facility.