Routine inspection·January 4, 2024

On 1/04/24, at 10:00 AM, Licensing Program Analysts (LPAs) Melody Brown & Bianca Wolcott made an announced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs Brown and Wolcott met with Licensee Ashish Bhambani was granted entry to the facility. At the time of the visit, Licensee Bhambani reported to LPAs Brown and Wolcott that there’s no resident at the home. The facility is a (6) bedroom, (4) bathroom home with a kitchen/dining area, living room, and attached garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory residents and (6) may be bedridden, (2) hospice waiver and currently no residents at the facility. LPAs Brown & Wolcott were accompanied by Licensee Bhambani to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant : The facility will operate in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. Bathroom showers/bathtub are tiled. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathroom to be in 110 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. LPAs Brown & Wolcott observed no Infection Control plan available at facility, a Technical Violation (TV) was given. Cleaning supplies, toxins, sharps, and other dangerous items will be kept inaccessible to residents in care. There was designated storage space for resident/staff files. There is a cabinet where they will store the residents’ medications and locked in the medicine room area. The facility has first aid kit and a first aid manual. Food Service : No residents at the facility. Licensee Bhambini reported that they will have sufficient Non-perishable and perishable food supply for the number of residents in care, once they will have residents at the facility. Care & Supervision -: The facility has an administrator present that will put sufficient hours to appropriately manage the facility. Licensee Bhambani reported to LPAs Brown and Wolcott that they will hire sufficient number of staff to appropriately provide care and supervision residents, once they will have residents at the facility. Record Review : LPAs observed Licensee/Administrator Bhavna Bhambani has updated Administrator Certification and it will expire on 10/14/24. Licensee/Administrator also has updated First Aid/CPR Certification. No residents’ records to review as there’s no resident at the facility. Based on the observations made during the visit today, LPAs Brown & Wolcott observed no Infection Control plan available at facility, a Technical Violation (TV) was given. An exit interview was conducted, and this report (LIC809) and technical violation were discussed and provided to Licensee Ashish Bhambani.