Routine inspection·February 16, 2023

On 2/16/23 at 11:30 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility above. LPA met with Administrator Michelle Marcos and explained the purpose of the visit. Administrator had a personal errand and states she will return shortly. At 12:16 pm, administrator was unable to return and LPA met with Desiree Verry, Administrator. LPA toured the facility with Staff #1 (S1) and observed the following: The facility is missing signage at the front door regarding the visitor policy. Licensee will post the policy, take a photo, and send to LPA by 2/17/23. LPA was screened upon entry. The facility has hand sanitizer in key locations throughout the facility. Resident bathrooms’ (2) are stocked with soap and paper towels. Between 11:55 am and 11:58 am, the water temperatures in resident bathrooms were tested and recorded at 131.3F degrees (front bathroom) and 130.3F degrees (bathroom in back bedroom). Water temperatures are not in compliance of the regulatory 105F to 120F degrees. Deficiency cited. The facility has signage for COVID infection control measures including cough etiquette and handwashing reminders. A fire extinguisher is located next the entrance to the garage from the house and is fully charged and purchased on 6/05/22. External gates (2) leading to/from the backyard are not self-closing. Licensee will adjust the gates to ensure they auto-close, send videos of the gates self-closing, and send to LPA by 2/23/23. Sprinkler heads are leaking and running over the walkway outside. Leaves and dirt add to the safety of the surface. Licensee will fix the leak, take a photo, and send to LPA by 2/23/23. At 12:37 pm, LPA conducted the Infection Control mitigation module with administrator Michelle Marcos. Exit interview conducted, deficiency cited and the report and appeal rights given to the administrator.