Routine inspection·September 19, 2022

On 9/19/2022 at 2:30 PM, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required- 1 Year annual. LPA met with Staff/Assistant Administrator, Gina Judge, and explained the purpose of the visit. Prior to today's inspection, LPA completed required COVID-19 testing protocols and completed daily assessment and confirmed the facility does not currently have any positive Covid-19 diagnoses. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. The facility currently has (6) residents and (1) resident on hospice services. LPA and Staff toured the interior and exterior of the facility including bathroom, (5) resident bedrooms, laundry room, kitchen, backyard and common area. LPA observed (2) residents to be in the common area, (1) resident in the dining area, and (3) residents to be in their private rooms. In the areas toured, no immediate health and safety risk were observed. LPA observed the facility to have thorough documentation of visitation screening. LPA observed the facility to have the Ombudsman and CCLD posters to be posted in the hallway. LPA observed paper towels, soap and hand washing signs in bathroom. LPA observed the facility to have COVID-19 signs to be posted throughout the facility. LPA observed sharps, toxics and medication to be locked and secured. LPA observed the facility to have 2+ days of perishables and 7+ days of non-perishables. Fire extinguishers last serviced 4/8/2022. Staff and LPA discussed the PIN regarding Monkeypox Addendum. LPA and Staff completed the infection control domain together, and at this time the facility was found to be at substantial compliance. LPA requested a copy of current liability insurance, Administrator Certificate, LIC 308, and LIC 500 during today's inspection by 9/30/2022. As a result of today's inspection, no deficiency was observed. Exit interview was conducted. A copy of report was left at facility.