Routine inspection·June 28, 2021

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Administrator Lulin 'Lucy' Wu and informed the purpose the visit. Wendy Wong and Olive Manalastas, licensees, arrived after about 45 minutes. LPA toured the facility with Lulin Wu. LPA randomly selected 6 residents' rooms (room #'s 12, 8, 9, 5, C and B) for inspection. LPA also inspected the common areas, reception area, dining room, kitchen, shower room/bathroom, ensuite toilets. Medications are centrally stored in a locked area that is inaccessible to residents and refilled every 30 day s. Per Lulin Wu, facility conducts inventory of medications every week. Perishable and non-perishable food supplies were observed sufficient. LPA observed a central screening station for COVID-19 with hand sanitizer and visitor's log by the entrance door. COVID-19 posters were observed posted all through out the facility. Personal protective equipments (PPEs) including but not limited to N95 respirators, surgical masks, disposable gowns, hand sanitizers, face shields were observed sufficient for 30 days. Water temperature in the bathroom was tested and measured at 115 degrees Fahrenheit. Fire extinguishers checked, observed fully charge and tags showed serviced February 10, 2021. Facility has working smoke and carbon monoxide detectors. LPA verified with the administrator and licensees who indicated fit testing for N95 respirators for all staff has not been conducted. A copy of current LIC500 Personnel Report received on this day. Exit interview conducted and copy of this report provided to Lulin Wu.