Routine inspection·September 21, 2021

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility for a required annual inspection, with an emphasis on the infection control domain. LPA met with Lidya Wenny and Makaila Tonan who confirmed there is 1 active Covid-19 case in the community. LPA toured the facility with Tonan. The facility submitted a mitigation plan to Community Care Licensing (CCL) to mitigate the spread of COVID-19 in the facility. Single entry point to the main lobby has a sign-in policy for universal entry screening. The facility also documents daily temperature and COVID-19 symptom checks for all visitors while residents are subject to routine symptom screening and regular observations for any change in condition. Continued weekly routine testing for staff is still observed. LPA observed all staff are properly fitted with face coverings. LPA Bueno toured the facility’s common rooms and an empty private apartment currently housing Personal Protective Equipment (PPE) . Tonan stated that the COVID wing has 1 active resident and their roommate in isolation. LPA saw the COVID wing closed off by double doors and posted were necessary droplet precaution and COVID related signages. Wenny verified that the smoke and carbon monoxide detectors and fire alarms are maintained and monitored by an outside vendor. LPA viewed the maintenance log that showed the last visit was conducted on 8/29/2021. LPA observed hand sanitizer throughout the facility, mostly situated by the elevator and exit doors. Tonan also confirmed the facility has an adequate supply of cleaning and disinfectant provisions. Based on observations made during today’s inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. LPA Bueno gave a technical advisory regarding fit testing for staff in the Covid wing. An exit interview was conducted where this report was discussed, and a copy of this report was also provided to Tonan at the conclusion of the inspection.