Routine inspection·June 21, 2021

On 05/28/2021, Licensing Program Analyst, M. Garza arrived at the facility unannounced to conduct the required Infection Control Inspection. LPA was greeted by live in staff, Shirley Alaysa and was allowed entry into the facility. Administrator, Marilen Gonzales arrived a short time later. LPA observed a central entry point with a supply of hand sanitizer and a sign in policy that includes documented routine symptom screening for resident's, staff and visitors. Residents observed in common area and in room. Mitigation plan not approved prior to visit but has been submitted to CCL 12/2020 pending approval. Staffing and sick leave plans are in place for emergency staffing and/or PPE shortages. LPA's toured the facility inside and out. Required postings of signs to include hand washing, coughing etiquette and physical distancing were observed throughout the facility. Staff observed not wearing face coverings. Facility has designated visitation areas. Covered trash bins were observed. LPA observed a supply of PPE and resident medications. Sinks stocked and liquid soap for hand washing and paper towels for hand drying were observed. Through LPA observation of documentation and interview with Administrator and staff, the required infection control practices are not found to be in compliance. Technical Advisory and citation was issued during todays inspection. Exit interview completed with Administrator. An immediate civil penalty was issued of $100 for un-fingerprinted adult. A copy of this report was sent via email for signature. A delivered and read receipt was sent as confirmation of receipt.