Routine inspection·December 21, 2022

Licensing Program Analyst (LPA) M. Medina arrived at the facility unannounced to conduct the Infection Control Inspection. LPA was greeted by Direct Care Staff, stated the purpose of the visit and was allowed entry into the facility. LPA entered through the central entry point where hand sanitizer, staff and visitor sign in sheet, and Covid symptom screening area was observed. Administrator was not available during today's inspection but confirmed that Direct Care Staff was authorized to sign report. Facility Mitigation plan has been submitted to CCL. Infection control procedures described in the plan which were observed and reviewed by LPA include: Daily symptoms screenings (for staff, persons in care and visitors), testing, visitation , quarantine/isolation procedures, emergency staffing plan, PPE storage, use and training, as well as daily infection control procedures. Postings to encourage face coverings and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Staff were all observed wearing face coverings. Facility has multiple designated visitation areas available. LPA observed 30-day medication supply and PPE accessible to staff. Common and resident bathroom sinks are stocked with liquid soap and paper towels for hand washing. Through LPA’s observation, the required infection control practices are found to be in compliance. No deficiencies cited on today’s inspection. Exit interview conducted over telephone with Administrator and signed by caregiver. A copy of report will be emailed to Licensee and Administrator due to technical problems