Routine inspection·September 15, 2022

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced infection control inspection/visit. Upon arriving, LPA was greeted by the front desk receptionist Emily Shah. Facility has a health screening questionnaire and masks for visitors. There have not been any active or past COVID cases at the facility, and 99.% of residents and all staff have been vaccinated. The current census is (36). LPA observed staff and residents to have full mask covering; it not recommended but not required. COVID-19, CDC, Department of Public Health, and Licensing postings and hand sanitizing stations were visible seen at each corner of the facility, and signs posted on the walls throughout the facility. Administrator Itzel Guevara was not available during today's visit. Facility manager Adriana Cisneros arrived to the facility to conclude the inspection. The infection control inspection began with the receptionist Emily and ended with Adriana. The common areas were observed to be clean, including resident rooms, and staff and visitor bathrooms. Soap and towels, and hand washing signs were visually posted. The facility has cleaning procedures and protocols in place, which include staff and housekeeping cleaning common areas, elevator, and doorknobs (2x) a day. The facility has documentation of all vaccination records and other pertinent information pertaining to COVID-19, in staff and resident files. All new employee hires and new resident admits, will be properly screened, and provided a negative COVID test, prior to entering the facility. Facility prefers vaccinated staff and new residents; but it is not required. The facility only surveillance test, when there are symptoms from staff or residents. If there are any signs or symptoms from residents or staff, the facility has a rapid test kits in place, and uses a COVID testing agency if needed. The Administrator receives departmental emails. Facility continues to provide and conduct training to staff in relation to COVID-19 and other required training. There is medication training scheduled in the next (2) weeks. There is a sick sick leave policy. The facility does not have staffing issues. There are designated rooms for potential positive COVID residents because the facility has private rooms. PPE supplies were inspected and have over (30) day supply. The facility continues to implement the best practices for the facility; to ensure the health and safety of residents and staff. The facility is aware to report any changes with residents and staff to Licensing and there LPA, pertaining to positive COVID-19 cases. Exit interview was conducted and copy of report was provided.