Pre-licensing visit·February 24, 2023

Licensing Program Analyst (LPA) Steve Chang conducted a pre licensing inspection visit, and met with administrator (ADM) Amritpal Powar The facility number plate was blocked by tree, ADM stated the facility will put a new number plate on within 5 days. No COVID posters was observed on the main entrance door. No screening station was observed at the main entrance. ADM stated ADM will put the COVID posters on the main entrance door, and put a screening station with thermometer, masks, hand sanitizer, visitor log book, and COVID questionnaires at the main entrance within 5 days. LPA toured the facility inside and out with ADM. LPA inspected living room, family room, kitchen, dinning area, two restrooms, 4 bedrooms,, and laundry room. Medication closet, was observed locked. knives closet, and cleaning product closet were observed not locked. ADM stated ADM will put locks on for knives closet, and cleaning product closet within 5 days. All the windows and screens in the bed rooms were observed in good shape condition. Trash cans were observed with covers. No posters of washing hands for 20 seconds were observed by the sinks in kitchen and restrooms. ADM stated ADM will put posters of washing hands for 20 seconds in kitchen and restrooms within 5 days. No paper towels with holders was observed in restrooms. ADM stated ADM will put paper towels with holders in restrooms within 5 days. PPE supplies for 30 days were observed not sufficient. ADM stated ADM will put PPE supplies for 30 days in facility within 5 days. First Aid Kit was observed in the facility. Non-skid mats and Bars were observed in restrooms. Room temperature was observed at 70 degree F, and hot water temperature was observed at 110 degree F. The facility is equipped with smoke and carbon monoxide detectors. The facility equipped with fire alarm system. ADM tested the smoke and carbon monoxide detectors, and they were working fine. ADM stated the fire extinguishers were bought recently. LPA did not see the proof for the dates. ADM stated ADM will put the receipts on the fire extinguisher within 5 days. LPA inspected the backyard, there was no obstruction to block the walkway. ADM stated the staff are all fully vaccinated and done with booster. The facility already submitted the Infection Control Plan. LPA discussed the Infection Control Plan with ADM. Component III orientation was conducted with ADM. No citation noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.