Routine inspection·July 13, 2021

Licensing Program Analyst (LPAs) Hansen & Elliott conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with Administrator Maria Socorro-Hernandez. Facility has 6 residents present. Facility offers activities of arts & crafts, puzzles and other activities like bingo. During facility tour on 7/13/2021 with Admin Maria Socorro-Hernandez 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 Extinguisher had a tag with no dates punched out. According to administrator it was serviced recently and administrator will forward inspection information to LPA. Smoke Detectors & Carbon monoxide detectors were found to be operational during the visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Dangerous items were stored inaccessible to clients in a closet in the kitchen. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Hot water temperatures measured 112.8 degrees F within Title 22 acceptable regulations of 105 to 120 degrees F Infection Control: Facility has submitted a mitigation program plan that has been approved. Posters have been placed at facility and entrance has small table with hand sanitizer and other items designated for visitors and staff before coming into work. Facility has PPE supply stored in the closet, front office area, and garage. Facility has not hired or admitted anyone new since COVID-19. Residents’ medications are stored and locked in the office. Facility has a 30-day supply of medication for residents. Residents are not wearing masks inside the facility, however; staff stated that they are able to wear masks when going on outings. All staff had masks on during this visit. Continued LIC809-C In addition, facility has a designated area for visitors which are being allowed for scheduled visits. Residents also have available Facetime and telephone calls when contacting with family members and others. Staff had all PPE training required on file and have obtained N-95 fit testing. LPAs recommended administrator follow up with agencies that provided training to get proof of training. In addition, LPAs advised facility to contact local County Public Health and DSS/CCL Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Disaster Drills had been conducted quarterly last being done 7/2020. LPA’s discussed with administrator that disaster drills are still required. LPA’s had a discussion with administrator regarding visitation guidelines per PIN-21-17. LPA’s confirmed a negative COVID test is not required for visitors. LPAs discussed vaccinated and non-vaccinated visitor guidelines are discussed in the PIN. LPA will forward emailed copy of the PIN to Administrator and Licensee. LPA’s confirmed administrator gets PIN’s automatically via email. LPAs recommended administrator ensure appropriate visitation signs are posted at the facility. There were no deficiencies cited at this time.