Lakeview Comfort Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan, met with Administrator Tina Keshisian for a One (1) Year Required visit for this facility. LPA arrived and was greeted by staff Fleming Nkonjera and Mombolwa Mubita and explained the reason for the visit. There is only one entrance being utilized at the facility, there are required poster posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection Plan. Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. A tour of the physical plant was conducted with the administrator at 1:25 PM. The facility is a single storey building with four (4) bedrooms two (2) bathrooms currently occupying five (5) residents. The facility is fire cleared for six (6) non-ambulatory residents, one (1) of which may be bedridden. Hospice waiver for six (6) residents. Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked, the following was noted: Living and dining room furniture were also checked. The living room is neat and clean along with dining The facility maintains a comfortable temperature at 74°F. The smoke detectors are hardwired and inter connected and observed to be operational. The fire extinguishers were filled and last bought on 11/01/23. (continued on LIC 809-C) The backyard of the facility has outdoor furniture, with a covered shaded area for clients. The front and backyard passageways were clear of any obstruction. There is no body of water in the facility. The garage is attached to the home and was locked and inaccessible to residents during the visit. The garage is also used as a stock room for emergency foods and staff rest area. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Cleaning supplies including detergents and pesticides and other toxins are stored in garage. Knives and sharps are observed to be kept in a locked drawer in the kitchen. Laundry area is located next to the kitchen on the way to the garage. Laundry soap is locked on the cabinet above the laundry machine. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. The bathrooms were checked for cleanliness and proper operation. LPA observed the appropriate grab bars for each toilet, bathtub and shower. The hot water temperature measured at a range of 106.6°F to 112.1°F. Towels and washcloths are not shared. There is enough clean linen available in stock at the linen cabinet. Medications: LPA observed medication in a cabinet located in the kitchen to be locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record. First aids kits have complete tools and supplies. Client records: Client records are reviewed and appeared to be complete and updated. Staff records: LPA conducted a complete file review of staff record. Staff records appeared to be complete and updated. Disaster drill was last conducted on 10/02/2023. Required posting are observed to be complete and current and displayed properly at the facility. Exit interview conducted and copy of this report issued.the state’s words, verbatim · CDSS document, Nov 7, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Fleming Nkonjera for a One (1) Year Required - Infection Control visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at 2:00pm and the following was noted: There is one entrance being utilized at the facility, there are required posters at the main door. Screening area is located immediately upon entrance. Sign in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing masks upon entrance and during the visit. Hand washing, coughing etiquette, physical distancing and other necessary signs are posted in the bathroom and throughout the facility. The facility has enough PPE supplies. The facility has a total of four (04) bedrooms and two (02) bathrooms. The facility is fire cleared for six (06) non-ambulatory residents of which one (01) may be bedridden and a hospice waiver for six (06). The facility is currently occupying four (04) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for storage and office. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean with appropriate furniture. The facility maintains a comfortable temperature at 78°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located in the hallway near the front entrance, observed to be full and last purchased on 11/03/2022. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 112.3°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication and first aid kit to be locked and inaccessible to residents. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Nov 29, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an unannounced infection control inspection/visit. LPA was greeted by caregivers Fleming Nkonjera and Mombolwa, who allowed LPA to enter the facility. Upon entering the facility, there routine symptom screening in place at the front door. Everyone was informed the reason of the visit. Administrator Tina Keshishian was notified and arrived shortly after. Administrator reported to LPA, that there have not been any active or past COVID cases at the facility. There current census is (5), and staff and residents have been vaccinated. LPA observed Licensing COVID-19 posting inside the facility at the front door entrance, and throughout the facility. The infection control inspection was conducted throughout the facility with the caregivers. The facility has (4) bedrooms; with (2) shared and (2) private rooms. Beds were kept (6) feet apart. All common areas were observed to be clean, including bathrooms, that had soap and towels. There were hand washing signs observed at the kitchen sink, bathrooms and resident rooms. LPA conducted a mitigation plan review with the Administrator, to obtain information how the facility has implemented the plan. According to the latest documentation of the facility's mitigation plan, it was reported that the Administrator submitted an incomplete report. Administrator reported to LPA that the plan was submitted to previous LPA Gary Tan. LPA requested a copy and the Administrator emailed to LPA during the visit. LPA reviewed the report and requested some additional information. Administrator will correct and submit to LPA. The facility is not currently conducting COVID-19 surveillance testing; but will begin to implement a plan for staff. Daily temperature for residents and staff are performed daily. Visitation is conducted outside on the backyard patio. Residents eat together and practice social distancing at the dining room table. Administrator informed LPA, she received the PINs from the department, and conducts training to staff in relation to COVID-19. There are designated rooms for potential positive COVID residents. PPE, chemicals, cleaning supplies, and paper products were observed, with a viable supply. The facility had sufficient staff and Administrator recently hired additional staff. The facility has not had any positive COVID-19 reports for staff or residents. Administrator informed LPA that they continue to implement the best practices for their facility; which has kept them COVID-19 free since the beginning of the pandemic. The facility is aware to report any changes with residents or staff to Licensing pertaining to positive COVID-19 cases. Exit interview and copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Nov 2, 2021