Routine inspection·April 27, 2022

Licensing Program Analysts (LPAs) Talwinder Bains and Kerry Hiratsuka arrived at the facility unannounced on 04/27/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPAs met with Administrator , Ramona McGill , and explained the purpose of the visit. Prior to initiating the annual inspection, LPAs completed required COVID-19 testing protocols, the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPAs wore the following Personal Protective Equipment (PPE) during today's visit: surgical masks. LPAs and Administrator toured facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to: kitchen, common areas, five bedrooms, two bathrooms, medication closet , garage, laundry room and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPAs and Administrator completed the infection control domain together and there were a couple of issues that were found: This facility is not following the infection control plan that was submitted in 2021. The facility does not have a complete visitor log that shall include screening for infection symptoms, staff wearing masks, daily screening of residents and staff for infection. Also found during today's visit: garage is used as a sleeping area and a closet inside the facility is also used as a sleeping area and they do not have a fire clearance. This is a zero tolerance and results in $500.00 immediately civil penalties assessed. Licensee did remove the bed from the garage and bed in the closet during visit and stated she shall not use the areas for sleeping. The garage may be used as a break area, but cannot be used to as a permanent occupied space or as living space. Deficiencies cited under Title 22, Div 6. See LIC 809D. A $500.00 immediate civil penalty was assessed during today's visit. Failure to correct the citations shall result in civil penalties that shall accrue. Exit interview conducted and copy of report left at the facility. Appeal rights given.