Routine inspection·June 30, 2022

On 6/30/2022, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator, Leonida Gaerlan, and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by facility staff upon entering the facility. LPA observed the interior of the facility. LPA observed (3) residents present at the facility. LPA was informed by residents that the facility "allows their dignity to grow". LPA observed all areas to be clean, in good repair and to be odor free and the bathrooms and kitchen to have paper towels, soap, trash cans with lids and Covid posters. LPA observed multiple Covid posters and hand sanitizers throughout and required postings displayed. Discussed vaccination protocols of residents and staff and visitation protocols in place. LPA and Administrator completed the Infection Control Domain regarding Covid protocols in place. LPA observed the Administrator Certificates (Estrella Shortey and Leonida B. Gaerlan) to be up to date. LPA reviewed (2) resident's file. LPA requested Administrator to send a copy of the current liability insurance be emailed to CCLD by Friday 7/8/2022. There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided to Administrator. Administrator informed LPA that an Incident Report was submitted regarding a conflict between two residents and one fell. Administrator informed LPA that EMS and family were informed. Administrator inquired what can she do if a resident refused medical attention. LPA responded that the facility should practice Medical Refusal Form for residents. Administrator asked LPA what is the protocol for residents with EtOH diagnosis. LPA informed Administrator she will ask her Licensing Program Manager and email a response. LPA advised Administrator to get LIC 602A to be updated for residents. Administrator asked what is the Department's practice for medical marijuana, LPA informed Administrator she will get a confirmation on this response and notify Administrator as soon as possible.