Routine inspection·November 18, 2022

Licensing Program Analyst (LPA) Janira Arreola, made an unannounced visit on 11/17/2022 at 11:55 a.in order to conduct an annual visit with a focus on infection control. LPA met with Administrator, Jimmy Apostol, who was informed of the purpose of the visit. At the time of the visit there were (3) staff and (3) residents present. LPA proceed to conduct a walk through of the facility's interior and exterior. LPA observed there was a central entry point at the facility. 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. Technical advisory notes were documented for measures, 106, 107, 108, 115, 130, 153, 156. No deficiencies were cited at the time of the visit. An exit interview was conducted where this report was reviewed and provided to Administrator, Jimmy Apostol.