Routine inspection·June 24, 2021

On 6/24/2021 at 10:35 AM Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an annual required inspection. LPA met with staff Floredelina Comillas to inform the purpose of visit. LPA called Administrator Charmaine Cruz to inform her that LPA is at the facility to conduct annual inspection, Administrator is not available during the visit, she gave permission to give copy of report to staff on duty. Facility has census of 6. LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen and backyard. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. Medications are centrally stored in a locked area that is inaccessible to clients and refilled every at least 30 days. Facility has enough 2-day perishable food and one-week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a mitigation plan. ....Continued to LIC809C... LPA observed the following: Facility does not documents daily COVID-19 symptom checks, and any change in condition for staff and residents –during the visit, facility staff created a new document to monitor covid19 symptoms for staff and residents. This is a technical violation, no deficiency cited. Signs has not been posted at facility entrance with updates to visitor policy to notify of policies . Technical violation given; no deficiency cited. Staff posted covid19 posters during the visit. Licensee/Administrator has not provided all staff with fit testing for N95 respirators. – this is a technical violation, no deficiency cited. Administrator will conduct fit testing for all staff and will provide training documentation to LPA by July 9, 2021. No deficiency cited during the visit. Exit interview conducted. Appeal Rights and copy of this report provided.