Routine inspection·October 20, 2022

Licensing Program Analyst (LPA) Janira Arreola, made an unannounced visit on 10/20/2022 at 1:24 p.m. in order to conduct an annual visit with a focus on infection control. LPA met with administrator Aron Oda, 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 where screenings are conducted for facility visits. LPA observed COVID-19 postings throughout the facility. The facility has a 30-day supply of PPE equipment that is readily accessible for residents staff. The facility has a designated visitation area in 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. LPA was able to review the facility's infection control plan that had been submitted to the regional office for review. LPA was informed by administrator that the staff have not yet been FIT tested for the N95 respirator. LPA will document this on a advisory note and send administrator information on where to get his done. LPA requested the monkey pox infection control plan and was informed by administrator that they have not yet made one for the facility. LPA will document this on an advisory note and send the administrator information on how to have this completed. LPA found (2) chairs in the shaded area of the yard that had ripped fabric showing stuffing inside the cushions. LPA took pictures of these chairs. LPA will issue a technical advisory note for chair covers. **CONTINUED ON LIC809-C*** LPA found that the backyard exit path way was blocked by children's toys that belong to the licensee's children. This is a potential risk for the residents in care. LPA will document this on an advisory note. LPA also found (3) pill boxes being used for the residents medication by the day. This is a potential risk to residents in care. This will document on an LIC 809-D page along with plan of correction. An exit interview was conducted where this report along with LIC809-D page, and appeal rights were reviewed and provided to administrator, Aron Oda