Routine inspection·April 4, 2022

On 4/4/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted the administrator, Ira Kurtz and the assistant administrator, Adrienne Fair. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies, PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels; COVID-19 signs are observed to be posted through-out the facility in different languages; all the resident rooms are private; hand washing instruction is posted by the hand washing stations; garbage cans are observed to be foot operated; hand sanitizers are observed at varies locations within the facility; PPE supplies are stored at varies locations and observed to be adequate. The facility conducts inventory counts once every two weeks and order supplies according to the burn-rate calculation. All residents are being screened for COVID-19 every shift and staff are being screened via Accusheild when they enter the facility. The facility completed its 2nd round of annual N95 fit testing for the facility staff. Medications are locked in the medication rooms. First aide kits are observed to be equipped in the medication rooms and nursing stations. A comfortable temperature is maintained, lighting is sufficient for comfort. The high- touched areas are being cleaned and disinfected per shift. LPA observed COVID-19 signs in the staff lounge, and the chairs are 6" apart. LPA requested for the following documents to be submitted to CCL by Wednesday 4/6/2022 - A copy of the current administrator certification, LIC308 Designation of Administrative Responsibility, LIC 309 Administrative Organization, and LIC 400 Affidavit Regarding Client/Resident Cash Resources No deficiency cited today. This report is reviewed and discussed with the administrator. A copy is provided.