Routine inspection·February 6, 2023

At 10:28am on 02/06/2023, Licensing Program Analyst (LPA) Jeffries arrived unannounced at the facility. LPA was greeted at the door by Marlene Santos (S1) who asked LPA to sign-in to entrance log but did not screen LPA for any infection control protocols. LPA also noted that both care givers present were not wearing masks and were then were requested by LPA to put on masks unless they have a medical or religious waver. LPA requested S1 call Administrator. At 11:45am, LPA received a call from Adelaida Cruz (S3), who was identified by S1 as being the current administrator. LPA conducted the infection control module of the annual inspection with S1. The following technical Assistance were cited: (1) Section 102: Screening, there was no infection control screening up entrance to the facility during this annual inspection visit; (2) Second 109; face covering. S1 and S2 were not wearing face coverings when LPA arrived and S2 did not put on face covering until LPA asked S2 a third time to put on face coverings 44 minutes into the annual visit. Section 112; There was no screening or request to sanitize or wash hands when LPA entered the facility. LPA was asked to singe in log book but no screening took place; (3) Section 126, there are no trash bins with lids for positive isolated resident infection control practices, additionally there is not enough PPE supplies at the facility to stage a positive resident room infection control cart.; (4) Section 142, Staff could did not provide Provider Information Notices (PINs) upon request of LPA. Section 152: Number #2 bathroom did not have any liquid soap or other soap.; Section 153, Personal Protective Equipment (PPE) shown to LPA at request was limited to 40 gowns, partial box of N95 masks, there were no gloves or eye protection observed by LPA upon request. CONTINUED on LIC809-C LPA and S1 conducted a cursory walk through tour of the facility. LPA noted that a cursory tour of the facility did not yield any citations, at this time. LPA provided a list of correction noted from infection control module on the technical assistance (TA) violations noted needed to rectify those technical assistance issues present. LPA will follow up by phone on March 7, when S3 returns from overseas to check on the TAs. S1 and S3 will send pictures of items listed on those TA's that were addressed and fixed. No other violations or citation were issued on this annual visit. Exit interview, report read, and report signed.