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25 | Licensing Program Analysts (LPAs) Emily Peraldi and Ashley Smith conducted a required annual visit. The LPAs met with staff and explained the reason for the visit. The LPAs and staff toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.
KITCHEN: Knives and chemicals were locked inaccessible. In observing the stove, it was noted that one (1) out of four (4) burners was inoperable; yet the licensee noted that they have asked the owner to replace the stove. The facility has a sufficient supply of perishable and non-perishable food. At 10:50 a.m., the LPA observed the following non-perishable items that were expired: rice, pasta, grits, au gratin potatoes. Items were disposed of upon observation; technical violation issued at this time. BEDROOMS: Bedrooms had appropriate furnishings, clean linens and sufficient lighting. RESTROOMS: Resident restrooms were fully stocked, and were clean and sanitary with grab bars and non-skid surfaces. Hand-washing signs were observed in the restrooms. At 10:35 a.m., water temperature measured at 116.6 degrees F. COMMON SPACES: Smoke detectors and carbon monoxide detectors were operable at the time of the visit. The facility maintained a temperature of 75 degrees. Living room and dining furniture were observed in good condition. Exits have functioning auditory devices. Fire extinguishers were charged and purchased within the past twelve (12) months. Postings were observed at the front entrance. The backyard had furniture and a covered area for resident use. There is an in-ground pool in the backyard, which was gated and locked.
Infection Control: There is a central entry point for signing in, universal screening and temperature checks. Staff were observed wearing appropriate face masks. There was an adequate supply of Personal Protection Equipment (PPE). The facility’s cleaning protocol was sufficient. The facility can designate a single-person room to isolate persons if there is a confirmed case of COVID-19. Provider Information Notices (PINs) and Emergency Plan was observed at the entrance. Staff are up to date regarding guidelines around visitation, best practices regarding screening visitors and staff, and vaccine requirements.
No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.
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