Routine inspection·November 19, 2021

Licensing Program Analyst (LPA) James Sampair conducted an infection control annual inspection and explained the purpose of the visit with Licensee Flor Reyes. LPA observed all staff wearing face masks during visit. Facility has a completed COVID-19 mitigation plan (LIC 808) in place. LPA inspected the facility inside and outside. LPA observed screening station located near the front entrance with visitor's log, hand sanitizer, face masks, and no touch temperature probe. Routine symptom screening (+/-) temperature, symptom check, and Covid-19 vaccination card check is done at entry for all staff, residents, and visitors. LPA observed COVID-19 signs posted in common areas and restrooms to promote hand washing, cough/sneeze etiquette, and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff and residents. Regular training has been conducted on infection prevention, symptoms, transmission and proper donning and doffing of PPE. All staff and residents are fully vaccinated. There were sufficient food and water supplies in the kitchen refrigerators/freezers. Emergency paper and PPE supplies are in storage. The facility room temperature was maintained at a comfortable level and the hot water temperature was within the safe 105 to 120 degree range. A certified administrator is on site more than the minimum of 20 hours a week to oversee proper business operation. The Smoke and Carbon monoxide detectors were operational, the fire extinguisher was fully charged and serviced 06/2021. Facility cited for one Type B violation of Title 22 because of the unsafe use of the HVAC closet for storage. Staff removed the stored items before completion of inspection. Exit interview was conducted and a copy of this report was provided to the administrator.