Routine inspection·September 16, 2021

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Adriana Barajas and explained the reason for the visit. LPA reviewed inspection tool questions with Administrator Mimi Romero via telephone. At 1:15 PM, LPA toured the facility with Caregiver Barajas. Facility has 4 residents in care during today's visit, with 2 residents on hospice care. Facility has bedridden fire clearance for one resident. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms are single occupancy and had the required elements as well as restrooms stocked with soap/ sanitizer. Facility screens all visitors to the facility and LPA observed the screening/ sanitizing station in the entrance of the facility. Facility utilizes a visitor sign in sheet. Facility takes resident temperatures daily and documents. Facility has covid precaution postings as well as all required department postings. LPA observed the first aid kit has all required items. Facility mitigation plan has been approved. LPA observed an ample supply of emergency food and water. LPA toured the outside grounds and observed multiple shaded outside visitation areas as well as a fenced pool. Exit gate is unlocked and self latching. LPA observed the locked medication storage area. Facility has ample supply of PPE and cleaning supplies. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPA reviewed three resident files during the visit and all files reviewed are up to date including emergency information. All residents and staff are vaccinated for Covid-19. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.