Routine inspection·July 26, 2021

Licensing Program Analyst (LPA) Shannan Hansen conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was welcomed by William Orellana Executive Asst. to CEO & Maria del Rosario Director of Clinical Nursing Services. There were 122 residents present at the facility of a max capacity of 150. LPA arrived at the facility and had her temperature checked and logged. All staff are temperature checked and logged each shift and wear masks. LPA toured the facility with Maria del Rosario Director of Clinical Nursing Services. During tour on 7/26/2021 with Maria del Rosario facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 12/1/2020 at the time of the visit. Facility smoke detectors are hard wired and sound directly to the fire station. Smoke detectors and fire sprinklers are inspected annually, and inspection records are current with the last inspection being conducted on 10/13/2020. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Hot water temperature measured between 113.5 degrees F and 120 degrees F within acceptable regulations of 105 degrees F. to 120 degrees F. in resident’s bathroom faucets. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. At the end of LPA tour, Administrator Catherine Scott arrived to facility and answered further questions regarding Infection control and facility. Infection Control: Facility has submitted a mitigation program plan that has been approved. Posters have been placed at facility. Facility has PPE supply stored in nurse’s office and on-site storage facility. Residents’ medications are stored and locked in nurse’s station. Facility has a 30-day supply of medication for residents. Residents do not wear masks inside the facility. Continue LIC 809-C In addition, facility has a designated area for visitors outside which are being allowed for scheduled visits. Residents also have available zoom and telephone calls when contacting with family members and others. Staff had all PPE training required on file as well as N95 Fit Testing. LPA reviewed Licensing Information System (LIS) with staff who stated that is correct and updated at this time. In addition, LPA advised facility to contact Marin County Public Health and DSS/CCL Community Care Licensing immediately if symptoms or cases of COVID-19 +occur in the facility. There were no deficiencies cited at this time.