Routine inspection·August 31, 2022

On 8/31/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance and LPA was properly screened. LPA was greeted by the Lead Staff, MaTheresa Alday. LPA explained the purpose of the visit. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, resident and staff daily monitoring records, containment strategies. there are 11 residents at the facility (4 downstairs and 7 upstairs). There are 4 shared rooms at the facility, and the beds are observed to be 6" apart with a privacy curtain in between each bed. PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels, hand washing instruction is posted by the hand washing stations. Trash cans are observed to have foot operated lid. Medications, toxins and sharps are stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete. During today's inspection, LPA requested for a copy of the facility's infection control plan to be submitted to CCL by September 2, 2022. No deficiency cited today. This report is reviewed and discussed with the lead staff. A copy is provided.