Routine inspection·November 18, 2022

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 11/18/2022 to conduct a Required - 1 Year inspection, and met with administrator, Viridiana Agapoff. The inspection is focused on the Infection Control procedures and practices of this facility. LPA was greeted by staff. Upon entry LPA was screened for COVID symptoms and asked to sign in. At primary entrance LPA observed temperature logs and visitor sign-in sheet. LPA conducted walk through of facility with administrator and observed COVID postings throughout. Infection control plan has been submitted and reviewed by Community Care Licensing (CCL). Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Staff have completed Personal Protective Equipment (PPE) and infection control training. High touch surface areas are disinfected daily. Due to current facility census, residents could isolate in their own rooms if they became ill. LPA confirmed licensee has necessary equipment and supplies to support a resident in isolation. Residents' emergency contact information has been updated and administrator confirmed staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible. Medications are centrally stored and kept secured. All staff and residents are fully vaccinated and boosted. LPA and administrator discussed the annual servicing of fire extinguishers. LPA is requesting the following documents be submitted to Community Care Licensing within 30 days of today's inspection: LIC 500 Personnel Report, LIC 9020 Resident Roster, LIC 308 Designation of Facility Responsibility, LIC 610 Emergency Disaster Plan, Evidence of Liability Insurance , LIC 200 Application (Admin Change), LIC 501 Personnel Record No deficiencies cited during today's inspection. Exit interview conducted with administrator and a copy of the report printed for the facility.