Facility Evaluation Report

On 9/15/2022 at 4:40PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Elaine Gelacio, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Marivel Calambro via telephone. Administrator gave approval for caregiver to sign documents.

Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs posted near screening station. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and back yard. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. Hot water temperature in the shared clients’ bathroom was measured at 131.0 degrees Fahrenheit. Fire extinguisher last serviced on 6/6/2021.

During record review, LPA observed facility has a copy of the infection control plan on file. LPA observed paper supplies are sufficient.

The following deficiencies were observed:

At 4:45PM, LPA observed a pair of scissors and knives in unlocked kitchen cabinet located underneath kitchen sink.