Routine inspection·May 5, 2022

On 05/05/2022 at 12:09 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an Infection Control Inspection, LPA was greeted by one staff upon entry and explained the purpose of the visit. The Administrator, Minoru Katsumoto (ADM) was telephoned by the staff member and arrived about 15 minutes later. Facility has a COVID-19 mitigation plan on file. LPA obtained a staff roster from ADM. LPA observed screening station at the entry that contained a thermometer, hand sanitizer, COVID-19 signage and a visitor sign-in log. LPA toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, and backyard. LPA observed cough etiquette and hand washing signs posted. There was a sufficient supply of 7-day perishables and 2-day supply of non-perishable foods. All hand washing stations were equipped with soap and paper towels. Hot water temperature in the shared residents' bathroom was measured at 116.2 degrees Fahrenheit (F) and facility temperature was 73 degrees (F). Fire extinguisher was observed full. Smoke/Carbon Monoxide detectors were observed operational. The following forms are to be updated and submitted to CCLD by 05/12/2022 : -Resident Roster -LIC500 Personnel Report (Received) -LIC308 Designation of Administrative Responsibility -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) Exit interview conducted and a copy of this report provided.