Routine inspection·January 13, 2023

Licensing Program Analyst (LPA) Janira Arreola, made an unannounced visit on 1/13/2023 at 02:30 p.m. in order to conduct an annual visit with a focus on infection control. LPA met with Administrator, ANALISA CAYABYAB, who was informed of the purpose of the visit. At the time of the visit there were (4) staff and (8 residents present. LPA proceed to conduct a walk through of the facility's interior and exterior. LPA observed there was a central entry point for facility visits. LPA observed COVID-19 postings at the facility. The facility has a 30-day supply of PPE equipment that is readily accessible for residents and staff. 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 and paper towels. 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 and will be due for their annual test. LPA was informed that the facility is no longer taking temperatures for staff and visits. LPA will document a technical advisory note, that administrator was advised to conduct temperature checks on a regular basis for visitors and staff at the beginning of their shift. LPA observed cleaning chemicals in restroom #1 under the sink that were unlocked. The cabinet draw had a lock that was not properly lacking making the cleaning supplies accessible to the facility residents. LPA observed (1) can of powdered bleach under the sink in restroom #2 that was place on top of the resident hygiene supplies. This cabinet did not have a lock on it. LPA also observed cleaning products under the sink in the master bedroom that were also unlocked. LPA had administrator move cleaning supplies to a locked area and was able to do so immediately. LPA will be documented a Type A citation for the unlocked cleaning supplies observed as well as a plan of correction. An exit interview was conducted where this report was reviewed and provided to Administrator, ANALISA CAYABYAB.