Routine inspection·February 16, 2023

On 2/16/23 at 4:25 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility above. LPA met with Staff #1 (S1), and explained the purpose of the visit. At 5:00 pm, Rachelle Tellez, Administrator, arrived, and LPA explained the purpose of the visit. LPA toured the facility with S1 until 5:00 pm and the administrator after 5:00 pm and observed the following: The facility has signage at the front door regarding the visitor policy. LPA was screened upon entry. The facility has signage for COVID infection control measures including cough etiquette and handwashing reminders. LPA observed all staff wearing masks. There are six single-occupancy resident rooms. Each resident room includes an attached bathroom and there is an additional resident bathroom in the downstairs hall. Bathrooms were stocked with soap and paper towels. Between 4:50 pm and 5:21 pm, water temperatures in four of the resident bathrooms were recorded at 131.7F, 124.3F, 151.8F, and 132.1F degrees. Water temperatures are not in compliance of the regulatory 105F to 120F degrees. Deficiency cited. Fire extinguishers (4), located in the entryway cabinet, downstairs hall, upstairs hall, and kitchen are fully charged and were inspected on 5/25/22. At 5:30 pm, LPA conducted the Infection Control mitigation module with the administrator. Exit interview conducted, deficiency cited and the report and appeal rights given to the administrator.