Routine inspection·August 30, 2022

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of completing the facility's Annual Inspection. LPA Colvin met with Administrator Ursula Carlos and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Below is a summary of what was observed: Infection Control: LPA Colvin went over COVID-19 best practices for infection control and prevention with Administrator Ursula Carlos , who LPA Colvin found to be successfully incorporating the several aspects of the facility's Mitigation Plan. Residents have hand sanitizer available to them, and the bathrooms were stocked with hand soap and 2 of 3 bathrooms had paper towels. LPA Colvin will be issuing a Technical Assistance (TA) Advisory Note during today's inspection, as residents do have cloth towels available for use to dry their hands. While touring the facility, LPA Colvin observed postings throughout the facility for cough etiquette, social distancing, and infection control. LPA Colvin requested to view the facility's PPE supplies (gloves, masks, and sanitizer, and isolation gowns), which was located in resident bedrooms and at screening station. LPA Colvin observed the facility have an adequate supply of PPE. LPA Colvin went over the various recommended training for facility staff with caregiver Jocelyn Lumaco in relation to COVID-19 and confirmed that staff have been trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing PPE. LPA Colvin inquired as to if staff have been fit tested for N95 masks, and Administrator Ursula Carlos confirmed that staff have been fit tested. LPA Colvin observed a sign-in sheet at the front door of the facility, and confirmed that visitors and staff are being screened for symptoms prior to entering the facility, as LPA Colvin was today. Administrator Ursula Carlos confirmed that both new staff and new residents must present a negative COVID-19 test prior to start of employment or residence at the facility. An exit interview was conducted with Administrator Ursula Carlos and a copy of this report and LIC9102 TA Advisory Notes were provided.