Routine inspection·May 20, 2021

On 05/20/21, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with administrator Carla Chan and explained the purpose of today’s visit. The facility is licensed for one hundred and forty-five (145) residents, of which eighty-four (84) may be non-ambulatory, ten (10) which may be bedridden on first floor only, and also includes Hospice waiver for ten (10) The facility is a two-story structure consisting of the following: one hundred and nine (109) resident rooms with attached baths, lounges, activity rooms, outdoor patio with shaded gazebo, dining area, kitchen and pantry. LPA and administrator toured the physical plant. There were no bodies of water or obstructions on the premises. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage area cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. Twenty-six (26) fire extinguishers were observed to be fully charged and every resident room had a smoke detector. During the visit, LPA observed the facility infection control practices. LPA observed screening protocol for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. No deficiencies were cited during this inspection visit. An exit interview was conducted, and a copy of this report was provided to Administrator Carla Chan.