Routine inspection·February 24, 2023

At 12:15pm on 02/24/2023, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the annual, infection control inspection. LPA met with Licensee Eric So Hu, and announced who he was and the reason for the visit. Licensee and LPA reviewed facility clearance roster and confirmed all staff working were on the facility roster and all cleared. Licensee and LPA conducted a cursory tour of the facility. This facility is a seven bedroom, 4 bathroom with kitchen, two living rooms and dining room. There is a large center courtyard with a pergola that provided shade for residents. Six of the bedrooms are single occupancy resident rooms, the other bedroom is for live-in staff. Three bathrooms are Jack and Jill style bathrooms that attached to two resident rooms each. LPA observed that all bath rooms were stocked with liquid soap and paper towels. LPA observed at least a 30 day supply of incontinence supplies and more than 30 day supply of PPE located in the garage. LPA observed each resident room and all rooms are in compliance with regulation standards with appropriate bedding, lighting, drawee's and storage. LPA noted that each room had its own exit and all exits were free and clear of obstructions and hazards. LPA noted that each room and hallway had hard wired fire detectors and were functioning properly, additionally Licensee installed a new carbon monoxide detector the day of this inspection. LPA observed a fire extinguisher that was charged in the green. LPA observed at least 2 days of perishable and at least seven days of non-perishable foods. LPA tested facility water temperature and noted that it was within regulation parameters of 105*-120P(f). LAP did not observe any violations, technical or citations during the cursory walk through tour of the facility. Licensee and LPA conducted the annual infection control module of the annual inspection tool. LPA Licensee on Provider Information Notice (PIN)'s postings and new PIN's released that pertained to infection control.. LPA noted that no violations, technical, or citations were discovered as a result of the infection control module of the annual inspection. LPA noted that no violations, technical, or citations were issued during this infection control, annual inspection at this time. Exit interview, report singed, and report provided.