Routine inspection·November 9, 2022

Licensing Program Analyst (LPA) Janira Arreola, made an unannounced visit on 11/09/2022 at 03:10 p.m. in order to conduct an annual visit with a focus on infection control. LPA met with Administrator, Florinia Candidato. who was informed of the purpose of the visit. At the time of the visit there were (3) staff and (6) residents present. LPA proceed to conduct a walk through of the facility's interior and exterior. LPA observed there was a central entry point where screenings are conducted for facility visits. LPA observed COVID-19 postings throughout the facility. The facility had N95 masks, but did not have a 30-day supply of PPE equipment. The administrator was able to obtain a 30-day supply by the end of the visit. Technical advisory note will be documented for this. The facility has a designated visitation area. LPA observed the resident bedrooms that would be used as isolation rooms. The resident bathrooms were observed to be clean and have the appropriate hand hygiene supplies such as hand sanitizer, soap, running water. LPA noted that the restrooms did not have paper towels. The administrator was able to obtain more by the end of the visit. Technical advisory note was documented for this. The resident roster had not yet been updated. Administrator would be able to update it by 11/10/2022 close of business 5:00pm. The facility has a cleaning plan in place to disinfect and clean the high touch surfaces of the facility and the isolation rooms. The staff have leave in case of contact or testing positive for COVID-19. The staff have been trained on how to properly don and doff the PPE equipment, and there is a plan of care in place to attend to those residents that would be in the isolation rooms. The staff have also been FIT tested for an N95 respiratory. The LPA noted powdered bleach that was left under the sink in the resident bathroom. The administrator was able to secure the bleach immediately under the kitchen sink in a locked cabinet. LPA documented the technical advory note for this. No deficiencies were cited at the time of the visit.An exit interview was conducted where this report was reviewed and provided to administrator, Florinia Candidato.