Routine inspection·August 31, 2022

On August 31, 2022, Licensing Program Analyst DeAnna Williams-Lyons arrived unannounced to conduct a 1 year annual inspection. LPA met with Alejrine Nacar, Caregiver, and informed him the reason for the visit. Prior to the inspection, LPA completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19, contacted licensee and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Mask In addition, LPA was screened by staff upon arrival. Alejrine and LPA completed the inspection tool questionnaire with no issues or advisories to report. LPA observed the following: Administrator certificate is valid, expiring 10/15/2022 First aid kit fully stocked and ready for emergency use. Fire extinguisher is fully charged . The home was 75 degrees F. Which is in the right temperature range. Common areas were clean and in good repair. Bedrooms had required furniture and lighting. Facility has required (2) day perishable supply of food and (7) supply of non-perishable food. Exterior of the home is in good repair with no bodies of water on the premises. Medications were locked up and MARS log was current and complete. As a result of this visit, no deficiencies were cited, per Title 22 Regulations, Division 6. The administrator shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610D the Emergency Disaster Plan, and copy of current Liability Insurance to update the facility file in our Regional Office. Administrator shall submit the listed documents to Licensing later than September 30, 2022. Exit interview conducted and a copy of this report given to Alejrine.