Routine inspection·December 27, 2022

Licensing Program Analyst (LPA), Dina Alviso, arrived unannounced to conduct a Required- 1 Year inspection, and met with a caregiver on duty, Micky Fatuma Selemani . Caregiver Micky contacted the Administrator by phone to notify her of the LPA's arrival. Licensee/Administrator Monicah Gacegu arrived to the facility within the hour of being notified. The inspection will focus on the Infection Control procedures and practices of this facility. All staff have required criminal record clearance, and are associated. Staff have first aid certification as required. There are five(5) residents in care, and one(1)resident is on hospice care. Staff screen visitors, staff, and residents, as needed. Screenings are logged. Residents are observed for any changes, and changes are reported as required. Facility has an approved dementia plan of operation. There is an approved hospice waiver for three (3) residents. Administrator submitted to the Department the required Infection Control Plan. Facility has a required Emergency/Evacuation Plan. Fire clearance is approved for eight(8) non-ambulatory residents.-effective 8/9/2019. Facility has a sufficient supply of food. Medications were locked up and inaccessible to residents in care. Toxins and cleaners were locked and inaccessible to residents in care. All exits were clear and unobstructed. Fire extinguishers were serviced and tagged, expires 5/27/23. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). LPA observed the Administrator and staff to be wearing masks as required, during the LPA's inspection. No deficiencies during today's inspection. No citations issued. Exit interview conducted with the Administrator Mera Shaughnessey.