Routine inspection·June 16, 2021

On 06/16/21 at 12:15 PM, Licensing Program Analyst (LPA) Daisy Panlilio conducted an infection control annual inspection and explained the purpose of the visit with administrator. LPA observed 5 staff wearing face masks during visit. Facility has a completed mitigation plan in place dated 04/04/2021 to mitigate the spread of COVID-19. LPA discussed the completed mitigation plan (LIC 808) with administrator as well as COVID-19 infection control practices. LPA inspected the facility inside and outside. LPA observed screening station located near the front entrance with visitor's log, hand sanitizer, gloves, face masks and no touch temperature probe. Routine symptom screening (+/-) temperature and symptom check) is done at entry for all staff, residents and visitors. LPA observed COVID-19 signages posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff and residents. Pathways were observed to be free of obstruction and fire hazards. Facility has sitting areas with furnitures spaced six feet apart for social distancing among residents. Continued on next page LIC 809-C Facility has conducted staff training on infection prevention, symptoms, transmission and proper donning & doffing of PPE. Infection control designated leader is the administrator. All staff and residents have been fully vaccinated since February 12, 2021. There was at least 7 days of nonperishable and 2 days of perishable foods. Emergency food supplies and PPEs were observed stored in locked rooms on the 1st & 2nd floors. Facility room temperature was maintained at 75 degrees Fahrenheit. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation and compliance with COVID-19 infection control practices. Fire extinguisher was observed fully charged and was last inspected on 04/15/2021. Smoke and Carbon monoxide detectors were operational. Updated copies of the following documents were requested for facility file and are to be emailed to LPA by administrator on 06/17/21: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610E- Emergency/Disaster Plan · Evidence of Liability Insurance No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided to administrator.