Routine inspection·July 21, 2021

Licensing Program Analyst (LPA) M. Medina conducted an unannounced Infection Control Inspection on this date. LPA Medina allowed entrance by Direct Care Staff, Administrator, Ardalan Babakhani contacted by telephone and arrived a short time later to conduct visit. LPA completed the COVID contact questionnaire prior to entrance into the facility. 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. Mitigation plan was submitted to Department and approved on 03/04/2021. Infection control procedures described in written and observed by LPA include: Daily symptoms screenings for staff, persons in care and visitors, visitation policy, and quarantine/isolation procedures, surveillance testing, infection control. Facility has adequate Personal Protective Equipment (PPE) available which includes, gowns, gloves, hand sanitizers, N-95 and face shields. Facility has a binder for COVID for procedures, documentation, postings and communication. LPA toured the facility inside and out. Facility observed to be clean and odor free. Food supply is adequate for resident's in care. Resident bedrooms toured. Bathrooms have signs for hand washing. Staff were all observed wearing face coverings. LPA observed a 30-day supply of resident medications. LPA observed the required infection control practices are found to be in compliance. Administrator, Adralan Babakhani Administrator Certificate #6031496740, expires 6/18/2022. CPR/First Aid expires 12/01/2022. LPA received copies of Administrator Certificate and current CPR/First Aid during today's visit. No deficiencies cited during today’s inspection.