Routine inspection·November 22, 2022

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit focused on COVID infection control. LPA met with caregiver Bliscyl Mgpatoce and explained purpose of today's visit. Upon entry LPA was COVID screened via questions and had temperature taken. LPA signed in as well. Prior to entry, LPA did observe COVID postings on the front door entering the facility. LPA toured facility's building and grounds. LPA observed COVID postings through out the facility. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. Resident and staff daily temperature log is observed as up to date. PPE supply is observed as in place. Medications, toxins and sharps are stored appropriately and inaccessible to clients. Fire extinguishers are observed as being inspected on 11/18/2021. LPA observed two extinguishers and both are charged and dial reads as within specifications . Facility ambient temperature is comfortable. Facility lighting is sufficient for residents and staff safety. Toilet and bathing facilities are equipped properly. Water temperature is tested at 108F in a common bathroom on the far left side of the facility adjacent to a resident's room. Facility contains two full bathrooms and both contained hand washing signs. Of the resident rooms observed, they equipped with required furniture and light fixtures. Non-slip mats and grab bars are present. Liquid soap is available and paper towels. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 5 residents and 2 staff on site today. Later around 1320 hours the licensee met with LPA. Staff are observed wearing masks. Criminal record clearances or exemptions for facility staff or other individuals who have client contact is reviewed as current. Facility does not handle resident monies. The following updated forms are requested to be submitted to CCLD by 11/29/2022 : • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Emergency Disaster Plan • Copy of administrator certificate No citations issued. Report is reviewed with Delphine Williams.