Routine inspection·September 23, 2022

Licensing Program Analyst (LPA), Martha Arroyo conducted an unannounced visit to the facility above to conduct a Required 1-Year Annual Inspection with focus on Infection Control. The last annual conducted at this facility was on 8/18/2019. The LPA was greeted and screened at the door by staff, Marissa. The Administrator, Kathie Flood arrived shortly after and the reason for the visit was explained. Entrance interview. At 2:00 p.m., the LPA began the physical plant tour of the common areas, kitchen area, resident bedrooms, bathrooms, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. The LPA observed three (3) locked drawers designated for knives and sharps. Medications were observed in a locked cabinet inside the office. BEDROOMS: The LPA observed the resident rooms, which were furnished appropriately with clean linens, furnishings, and sufficient lighting. RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Restrooms are sufficiently stocked with hand liquid soap and paper towels. Bathrooms were measured for hot water and measured between 105- and 120-degrees Fahrenheit. …Report Continued on LIC 809C… …Report Continued from LIC 809... BACKYARD AND GROUNDS: Cleaning supplies and chemicals are locked and inaccessible to residents. There is a covered patio area with patio furniture including a table and chairs for resident use. Facility has one (1) fence gate that self-latches with clear passageways for emergency exit use. The LPA observed no bodies of water during time of visit. COMMON SPACES: The living and dining areas are clean and properly furnished with seating, a table, and television for resident use. The LPA observed all six (6) residents in the living room during time of visit. Fire extinguisher was observed to be purchased on 7/17/2022. During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. The LPA observed appropriate signage which promoted good hand hygiene, physical distancing, symptoms of COVID-19, and CDSS PINS. The facility has a central entry point for symptom screening, temperature checks, and sanitation station. The LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. Staff were observed wearing face coverings. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. All staff are fully vaccinated and boosted. No identified staffing concerns. The facility is in compliance regarding the requirements for indoor and outdoor visitation. The facility’s policies and procedures as it pertains to infection control are adequate. Exit interview conducted. No citations issued. A copy of the report was provided via email.