Routine inspection·May 25, 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 administrator, Raquel Montes, who was informed of the purpose of the visit. At the time of visit there was 20 staff and 64 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 advised adminsitrator to repost Covid-19 postings at the facility. A single entry point 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. Common areas such as dining rooms and activity rooms have been modified with social distancing and masking policies. There are designated isolation rooms and a plan in place to monitor and attend to those in the isolation rooms. LPA observed a sufficient 30-day supply of PPE equipment. The facility also has a designated infection control lead and a plan in place to clean and disinfect the highly touched surfaces. LPA reviewed facility roster on Guardian and compared this to Employee Roster provided by the administrator. LPA reviewed transfer sheets on file for staff and found 4 staff (S1, S2, S3 and S4) not associated to the facility. S4 was brought to the facility on a temporary basis from 04/03/2022 to 05/19/2022 from facility Vista Del Mar. LPA was able to review documented proof of this at the facility. S1, S2 and S3 are not associated to the facility. This is a zero tolerance regulation and a Type A citation will be assesed with civil penalties in the amount of $500 per staff, totaling $1500. An exit interview was conducted, and a copy of this report, 809-D pages, and appeal rights were provided to facility administrator Raquel Montes.