Routine inspection·July 14, 2022

Licensing Analyst Program (LPA) Janira Arreola, made an unannounced visit to the facility for the purpose of an annual with emphasis on infection control. LPA was greeted and granted enter by Josefina Deguttierez, who was informed of the purpose of the visit. At the time of the visit there were (3) staff and (5) residents present. LPA toured the interior and exterior of the facility. LPA observed appropriate postings in facility entrance and common areas. LPA observed a single entry point where symptoms screenings and temperature checks occur daily for all visitors. LPA reviewed binder where facility is keeping track of visitor vaccination cards. LPA observed a sufficient 30 day supply of PPE equipment in the facility supply closet, as well as enough hand soap, toilet paper, and paper towels in all (2) resident restrooms. LPA spoke with Administrator, Grace-Marie Tomas over the phone during the visit. Administrator informed LPA that staff are receiving COVID-19 leave that is non-punitive, and that staff have been training by a professional in proper PPE usage. Administrator shared contingency plan for staffing shortages and PPE shortages as well. LPA was informed by administrator that resident rooms would be used for isolation purposes. LPA was informed of the plan to ensure high touch surfaces, isolation rooms, and common areas are cleaned. The facility has a plan in place to monitor the residents in the isolation rooms, and for any changes in condition. LPA will issue technical advisory note LIC9102TA for staff to start documenting staff and resident temperatures. In addition LIC9102TA will be documented for staff to be N95 FIT tested. No deficiencies were issued at the time of the visit. An exit interview was conducted where this report was reviewed and provided to facility staff, Josefina Deguttierez.