Living Graceful RCFE

Type of visit: Required - 1 Year

At 12:00pm Licensing Program Analyst (LPA), Angela Panushkina conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by the staff, Sinagtala Limbo, who granted access to the facility. Administrator arrived shortly after and LPA explained the reason for the visit. At 12:10pm, LPA conducted a tour of the facility and the following was observed: Infection control: The facility had submitted and approved Mitigation Plan and Infection Control Plan. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. LPA observed all trash can throughout the facility have fitted lids. Kitchen: At approximately, 12:15pm LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. There is a fire extinguisher in the kitchen and it was last serviced on 12/20/2022. Medications: At approximately, 12:20pm LPA observed medications are centrally stored and locked in the kitchen cabinet and inaccessible to residents in care. LPA also observed a First Aid Kit complete with the required items as per Title 22 Regulations. Bedrooms: There are five (5) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were Continue on LIC809-C tested and observed to be operational. Staff bedroom is located by the kitchen. Bathrooms: At 12:30pm LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 109.3°F. LPA observed appropriate grab bar and non-skid mat. LPA observed appropriate hand washing signs posted in each bathroom. All trash cans in bathrooms had fitted lids to protect from cross contamination. Common Areas: The facility maintains a comfortable temperature at 71°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Outside areas: At approximately, 12:45pm LPA toured the outside area of the facility. LPA also observed a clean covered patio and backyard furniture to accommodate the six (6) residents. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. The garage: Laundry area is located by the attached garage and kept locked and inaccessible to residents. Smoke detectors/carbon monoxide. Dual smoke and carbon monoxide detectors were located throughout the facility, and at 1:00pm they were tested and observed to be operational. Between 1:05pm to 2:00pm, LPA reviewed records of three (3) residents and two (2) staff. Resident and staff records appeared to be complete and updated. Administrative: LPA collected Certificate of Liability Insurance and LIC500. No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.the state’s words, verbatim · CDSS document, May 3, 2023

Type of visit: Required - 1 Year

On 06/21/22 at 11:35 a.m Licensing Program Analyst (LPA) Joscelyn Martinez arrived at the facility to conduct an unannounced annual inspection. Upon arrival LPA met with staff and then met with Administrator Gladys Maniago. The purpose of the visit was explained. Entrance interview conducted. A physical plant tour was conducted at 11:40 a.m and the following was observed: Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Staff took LPA’s temperature upon arrival. Facility has sufficient PPE supplies for more than 30 days. Food Inspection/Kitchen: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers in the kitchen. Sharps are centrally stored in a locked area. Medications are centrally stored in a locked cabinet in the kitchen area. Garage: There is door next to the kitchen that leads into the garage. The garage is used for additional storage and laundry area. The chemicals in the garage are stored in a locked cabinet. Smoke detectors/carbon monoxide are located throughout the facility and are dual hardwired. Smoke detectors and carbon monoxide detectors were tested at approximately 11:55 a.m. and appear to be functional. Fire extinguisher has a purchase date of 12/01/2021. Common Areas: All common areas were observed to be clean and properly furnished. Resident Rooms: Facility has six (6) bedrooms which of five (5) are designated for resident use. Facility has two live-in staff. All six (6) bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the residents. All rooms have adequate lighting and furniture. Continue on 809-C Bathrooms: There are three (3) bathrooms in the facility of which two (2) are designated for resident’s use. LPA observed all bathrooms to be cleaned. The hot water was tested and measured within regulation. All trash cans located in the bathrooms had tight fitting lids. Outside: LPA toured the outside area and observed appropriate outdoor furniture with a shaded covered area for residents. There are no bodies of water. Exit interview conducted. Report signed and delivered.the state’s words, verbatim · CDSS document, Jun 21, 2022