Routine inspection·February 17, 2023

Licensing Program Analyst (LPA), Martha Arroyo arrived unannounced to conduct a Required 1-Year Annual with focus on Infection Control. The last Annual conducted at this facility was on 03/24/2022. Upon arrival, the LPA was screened and greeted at the door by staff. The Administrator, Sophia Bonoan arrived shortly after and the reason for the visit was explained. Entrance Interview. The LPA along with the Administrator began the physical plant tour of the common areas, kitchen area, resident bedrooms, bathrooms, garage, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The LPA observed two (2) resident bathrooms. Hot water is in compliance between 105- and 120-degrees Fahrenheit. The LPA observed an adequate amount of perishable and non-perishable food. LPA observed fire extinguisher was newly purchased on 02/04/2023. At 12:36 pm, the smoke detectors and carbon monoxide detectors were tested and operable. LPA observed medications locked in the closet by the main hallway. Sharps and knives were observed locked under the kitchen sink. LPA observed Emergency food and water supply. The living areas and dining areas are clean and properly furnished. LPA observed two (2) residents in the dining room having lunch at the time of the visit. LPA observed outdoor grounds with clear passageways and one (1) self-latching gate clear of obstruction for emergency use. No bodies of water observed at the time of visit. Report Continued on LIC 809C ... Report Continued from LIC 809 ... During today's visit, the LPAs spoke with the Administrator regarding the facility's infection control practices. The LPA observed appropriate signage which promoted good hand hygiene, physical distancing, and symptoms of COVID-19. 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. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVlD-19. All staff are fully vaccinated. The LPA observed staff wearing face coverings at the time of visit. No identified staffing concerns. Exit interview conducted. No citations issued. Report was reviewed and issued to Administrator.