Routine inspection·May 19, 2021

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Administrator Maria Jacobo and explained the reason for the visit. The purpose of the visit is to complete the required inspection. LPA Trueman toured the facility along with Administrator Maria Jacobo today 5/19/2020 at 11:30 AM and the following was observed: Facility contains 80 Bedrooms and 80 Bathrooms for residents, dining room, 2 TV rooms , and activity room. Required Annual inspection included Infection Control Domain and check of the food supply, medications and criminal clearance check. LPA observed sufficient supply of 2 day perishables and 7 day non perishables. All staff were cleared and associated. Visitation signage was posted along with signage for hand washing and proper sanitizing. Temperature checks are conducted 2x a day and logged. Staff have been trained in hand washing. Staff are sufficient with no shortages and there is a plan to replace workers if ill. There are rooms available if isolation is needed. Staff wear masks, gloves and face shields. Bathrooms have proper signage for hand washing. There are multiple stations for hand sanitizing. Social distancing is implemented. Meal times are sanitized after each meal. Facility has sufficient supply of PPE. Facility has a specific plan to ensure proper cleaning and disinfection of environmental surfaces and laundry; commonly touched surfaces are cleaned and disinfected at least once every shift . Plan when to notify medical provider if symptoms develop or COVID-19 exposure or when to call 911 for severe respiratory distress. Advisory notices issued (LIC 9102.) Deficiency cited on 809 D for medication Banophen 25 mg, Benztropine 0.5 mg, and Risperidone 2 mg. moved from original bubble pack and placed in cups for future days of 5/20-22. Exit interview conducted with Administrator.