Routine inspection·November 29, 2022

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with staff, Ann Marie Thompson, who contacted Administrator, Marinela Barac by phone. LPA met with Administrator at approximately 1:50 pm, and explained purpose of inspection. LPA observed (3) residents in the common area and (2) residents in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (2). Currently, there are (2) residents on hospice. Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols, wore a surgical mask and was screened per Covid-19 precautionary measures upon entering the facility. LPA and the Administrator toured the interior and exterior of the facility including the common areas, resident bedrooms (5), resident bathrooms (3), kitchen, staff room and laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters posted. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and locked medications in the kitchen. LPA observed toxins to be secured in the kitchen and laundry room. LPA observed the inside temperature to be 74*F. Fire extinguisher was last serviced 7/27/22. Discussed vaccination status of residents/staff, eligibility for boosters, and booster flyer provided. LPA observed multiple Covid posters throughout as well as other required postings. LPA observed (1) unlocked gate from the inside back patio. There are no bodies of water or a pool. LPA observed sufficient incontinent products and PPE on hand. LPA observed current RCFE Administrator Certificate #6016837740- exp 5/30/24 to be posted. Discussed PIN 22-28.1 issued 11/29/22 regarding visitation protocols. LPA observed a therapy dog who is regularly at the facility. LPA obtained a copy of the current liability insurance and requested an updated copy of LIC500, LIC308 to be provided to the Department by 12/7/22. There are no deficiencies issued during today's inspection. Exit interview. Copy of report provided.