Routine inspection·July 21, 2022

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA was greeted, granted entry by Administrator (AD) Irina Maroussenko and explained the reason for the visit. At 1:16 PM LPA Haley began the tour of the facility with AD Maroussenko in the kitchen. LPA Haley observed The kitchen was clean and organized. All knives and sharp objects were locked in a lock box. The facility has a two day supply of perishable food items and seven day supply of nonperishable food items. A fully charged and mounted fire extinguisher was mounted on the wall. Around 1:18 PM LPA Haley observed two of the burners on the stove would not light without assistance. There were three residents present for the visit. All resident bedrooms were clean, well organized, and had all necessary requirements. Resident bathrooms were clean and organized. Hot water temperature was measured at 108.8 degrees Fahrenheit in resident bathroom #1, 111.5 degrees Fahrenheit in resident bathroom #2, and 111.5 degrees Fahrenheit in resident bathroom #3. LPA Haley observed a locked medication cart in the staff bedroom. In a hallway near the resident rooms LPA observed a laundry room that remains locked and inaccessible to residents. LPA Haley observed a cabinet near the front door with a fax machine, staff files, and a first aid kit with all required elements. The garage is locked and inaccessible to residents at all times. The garage was being used for storage space, and walkways were clear and free of tripping hazards. All hazardous chemical are stored in the garage on a shelf. LPA Haley observed an emergency supply of food and water. Further, a supply of PPE, and plenty of extra linens was observed in the garage and. Continued on LIC 809 C The backyard had clear walkways, free of tripping hazards. There was a side exit gate that was self closing and self latching. In the backyard, LPA Haley observed a shaded area with a table and chairs. While walking through the back yard LPA Haley observed various materials being used for the home construction being done on the property. No bodies of water were observed during today's visit. All smoke detectors were tested and are operational. Deficiencies are being cited during todays visit. An exit interview conducted and a copy of the report and appeal rights were provided to Administrator Irina Maroussenko.