Routine inspection·June 23, 2021

Licensing Program Analyst (LPA) L. Cabrera conducted an Annual Inspection on this date. LPA met Designated Representative Eloisa Mae Leyco and stated the purpose of the visit. Administrator was unavailable and designated E. Leyco. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink and kitchen. Bedrooms were checked and clients have their own room. LPA checked residents’ medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health and infection control training. Facility staff was observed with mask on. Residents wear masks when away from the community. Resident’s files have updated emergency contact information. No deficiencies were observed. Technical advisory notes were provided for all staff who are working with COVID-19 positive residents with fit testing for N95 respirators. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed to the Administrator.