Routine inspection·September 21, 2021

Licensing Program Analyst (LPA) Deborah Mullen made an unannounced visit to the facility to conduct an annual inspection with an emphasis on infection control. The LPA, met by Licensee, Agnes Martinez. Present in the home during time of visit were two staff and 5 residents. There are currently no cases of COVID-19 within the facility. During today's visit, the LPA inspected the facility and made observations pertaining to the facility's infection control measures. The LPA observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and proper use of face coverings. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the proper use and disposal of PPE supplies and overall infection control. The facility has submitted a Mitigation Plan which details their plan relating to infection control. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code or Regulations. An exit interview was conducted with Agnes Martinez, Licensee. A copy of this report was review with and provided to Licensee.