Routine inspection·November 4, 2021

LPA Spaeth conducted an unannounced visit to the facility. LPA Spaeth's temperature was recorded and COVID questions asked upon arrival. LPA was greeted by Administrator, Jessica Pelaya at 11:35 am. LPA Spaeth began the tour with staff member, Vanessa Quintero at 11:50 am. LPA observed the COVID signs on the front door of the facility. Hand sanitizer was located near the entrance and LPA Spaeth observed five residents watching television. LPA was then escorted to the dining room and observed residents were eating a chili cheese hot dog with fresh salad. Both parties then walked into the kitchen and LPA observed three kitchen staff preparing the plates for the residents. LPA observed the refrigerator which contained dairy products such as eggs, milk, cheese and fresh vegetables. LPA then observed the freezer which contained frozen meats and vegetables. LPA observed the pantry which was slightly low of canned goods. Staff member Quintero stated the canned goods delivery is every Friday. While touring the first floor of the facility, LPA Spaeth observed two staff bathrooms which contained wash your hands sign, hand soap, paper towels, and a trash can. The public bathroom used by residents and visitors contained wash your hands sign, hand soap, and trash cans. However, the bathroom did not contain paper towels. Staff member Pelaya requested cleaning staff to supply paper towels in the bathroom. LPA observed four rooms on the first floor. Each room contained bed linens, night stand and night light. Each room has a bathroom and the four bathrooms contained wash your hands sign, hand soap, and trash can. However the bathrooms did not contain paper towels. Staff member Quintero discovered there was only one box of paper towels. At 12:30 pm, LPA met with Administrator and explained the paper towel shortage. Administrator stated the paper towel supply is ordered by kitchen staff. Administrator stated will advise kitchen staff to order additional paper towel towels. At 12:40 pm, LPA was escorted to the second floor by Staff member Quintero. LPA observed three rooms and observed all the rooms contained bed, linens, night lamp and night stand. However, the bathrooms did not contain paper towels. LPA also observed the second floor staff bathroom contained wash your hands sign, paper towels, hand soap, and trash can. LPA then observed an adequate supply of hygiene items which were locked in the reception area. LPA was then escorted to the locked Administration office and observed PPE supplies which included masks, gloves, gowns, and hand sanitizer. Under Title 22 General Regulations, the following citation was issued and recorded on LIC 809D. Exit interview was conducted, appeal rights discussed and LPA gave a copy of the report during the visit.