Routine inspection·May 24, 2022

Licensing Program Analyst (LPA), Janira Arreola made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted and met with Executive Director Teresa Mapillis, who was informed of the purpose of the visit. At the time of visit there was 11 staff and 76 residents present. The facility currently has zero positive or suspected Covid-19 cases. During today's visit, LPA toured the facility and made observations regarding the infection control measures that the facility has implemented. LPA observed Covid-19 postings at the facility and a single entry point for each building (A, B, C, and D) was designated where symptoms screenings and temperature checks occur daily for all visitors, residents, and staff. The facility had a plan in place to monitor residents regularly for any changes in condition. The facility had an adequate amount of hand hygiene supplies (soap, hand sanitizer, paper towels) in all inspected shower rooms and resident restrooms. Common areas such as dining rooms and activity rooms have been modified with social distancing and masking policies. There is a plan in place to isolation residents and monitor those in isolation. LPA observed a sufficient 30-day supply of PPE equipment. The facility also has a plan in place to clean and disinfect the highly touched surfaces. LPA reviewed the Guardian roster and observed 4 staff (S1, S2, S3, and S4) who had fingerprints "in process". S4 passed away and is no longer working at the facility. LPA called the regional office and checked fingerprint status for all 4 employees and was informed that all 4 staff had been associated to the facility Yorkshire Village (331800223). There were no deficiencies noted at the time of the visit. An exit interview was conducted, and a copy of this report was reviewed and provided to facility Executive Director, Teresa Mapillis.