Routine inspection (multi-day)·October 27, 2021

Licensing Program Analyst(s)(LPAs) Mary Flores and Jewel Baptiste conducted a case management continuation annual visit focus on domains Personnel Records/Staff Training, Operational Requirements, Staffing, and Planned Activities. LPAs met with Lori Lackey assistant administrator and explained the reason for the visit. During this visit LPAs toured the facility to follow up with Infection Control guidance. LPAs observed English and Spanish signs throughout the facility, closed trash cans in common areas, disinfection time sheets throughout the facility with logging times for every shift. Staff were observed wearing surgical mask, one person per table was observed in dining room, disinfecting spray bottles have been updated. LPA observed a staff washing hands and a staff donning and doffing were done properly. LPAs reviewed staff files for staff #1(S1), #2(S2), #3(S3), #4(S4), #5(S5), #6(S6), #7(S7), #8(S8), #9(S9), facility's plan of operation, facility's activity calendar for 3 months, and in service training which total approximately 4 hours between 12/24/20 - 5/10/21. LPAs observed S1, S2,S5,S9 do not have a current First Aid/CPR training and S6 did not have a health screening/TB test. LPAs observed Administrator Certificate # 6020807740 expiration date: 10/14/22 for Virginia Garcia Administrator and obtained a copy of insurance bond with expiration date of 1/31/22. Deficiencies were given under Title 22 Regulations Division 6 Chapter 8 and noted on LIC 809D. Exit interview was conducted with Virginia Garcia, administrator and a copy of this report, LIC 809D, and appeal rights were provided.