Routine inspection·January 26, 2023

Licensing Program Analyst Katrina Walters arrived unannounced to conduct an Annual Required Inspection and met with Executive Director, Shelley Reyes. Upon arrival, LPA observed that there was one central entry point was created for visitors. At the entrance there was a screening station. Visitors are to self screen and have their temperature taken using an application on an Ipad. The application ask a series of questions and automatically takes the visitors temperature. LPA initiated a tour of the facility with the Administrator and made the following observations: The facility was a comfortable temperature and passageways were free from obstructions. Visitor bathrooms are equipped with paper towels and handsoap. Resident rooms were furnished per regulation with appropriate lighting. Fire extinguishers were last serviced December 14, 2022. Facility's fire system is maintained by Hue & Cry, Inc. The most recent service of the entire system was conducted January 2023. Smoke and Carbon detectors were tested in resident bedrooms and appeared to be operational. Fire Alarms and Strobes were tested while LPA was present and were functional. Continued on LIC809C Continued from LIC809 LPA reviewed staff and resident records. Facility keeps copy of vaccine records for residents and staff in their perspective folders. Staff have received training on personal protective equipment (PPE), droplet precautions and education on Monkey Pox. Per Administrator, staff receive training semi-annually. All staff have been fit tested and their results are documented. Facility has adequate Personal Protective Equipment (PPE) and incontinence products, that is stored in their storage and accessible to staff who need it. In the event that a resident needs to quarantine the facility has isolation carts. No deficiencies cited during this inspection.