Routine inspection·March 6, 2023

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required 1 Year Inspection Visit utilizing the infection control domain, LPA met with staff Ruby Ann Villanueva and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols.. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical masks and gloves. Additionally LPA was screened by facility staff. LPA Wallace and direct care staff toured facility together to ensure health and safety of residents in care. Areas toured include, but are not limited to: common areas, six (6) resident bedrooms, five (5) bathrooms, kitchen, storage areas, and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Wallace and the administrator completed full inspection care tool and facility was found to be in substantial compliance at this time. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 109.2 degrees Fahrenheit in bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire Extinguishers were inspected on 1/9/2023 and in compliance. Smoke and carbon monoxide detectors are in compliance with fire safety. LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed two (2) client and two (2) staff files, including criminal record clearances. LPA reviewed Fingerprint clearance and associations to the facility. First aid kit was checked and is complete. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report was left with direct care staff.