Routine inspection·June 20, 2022

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a required annual inspection with an emphasis on infection control. LPA identified herself to care staff Alvin Espino. Staff verified that the facility currently has no active and/or suspected COVID-19 cases. Staff notified administrator by phone of today's visit. During the inspection, LPA Bueno interviewed care staff regarding the facility's infection control measures and inspected the facility for regulatory compliance. LPA observed appropriate postings in the facility, including COVID-19 symptoms and infection control postings, which were in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases and that staff are trained in the facility's infection control measures. The facility has yet to submit their COVID-19 mitigation plan. During the inspection, LPA did not observe tags on two of two fire extinguishers and staff is unable to verify when extinguishers were last tested. LPA observed sprinkler systems installed in the home. LPA observed that staff 1 is not associated to the facility, which poses an immediate health and safety risk to persons in care. Refer to LIC809D for deficiencies cited. Technical advisories were also issued. See LIC9102s for advisories. An exit interview was conducted where this report was discussed, and a copy of this report was provided to Alvin Espino at the conclusion of the inspection.