The LPA, along with Licensee, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguishers were observed to be fully charged and last serviced on 03/04/2022. Smoke detector was tested at 03:07PM, Carbon Monoxide detector was tested at 03:08PM; both were functional at the time of the visit.

KITCHEN: Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives were observed to be locked in a kitchen drawer. Emergency food and supplies were observed in a pantry in the kitchen.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room, family room, and dining room furniture was observed to be in good condition. Two fireplaces were observed and were adequately screened. Cleaning supplies were observed to be locked in the entry closet and properly stored at the time of the visit. The LPA observed the required postings in the common area. Laundry room contained locked cabinets for chemical storage.

The backyard has a covered outdoor area equipped with furniture for resident use. The garage was observed locked and contained storage.

BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 6 (six) total bedrooms; 5 (five) are for Report Continued on LIC 809-C

RESTROOMS: The LPA observed 3 restrooms in the facility; All resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Water temperature was measured in the shared resident restroom and measured at 112.8 degrees Fahrenheit, which is within the required range.

INFECTION CONTROL: During today’s visit, the LPA spoke with Licensee regarding the facility’s infection control practices. Prior to entry, the facility has a central entry point for symptom screening and hand sanitization. LPA observed all staff and visitors to be wearing masks. The LPA observed an adequate supply of Personal Protective Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate.