Routine inspection·May 24, 2022

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a required annual inspection with an emphasis on infection control. LPA identified herself to live-in care staff Edralin and Judith Asia. Staff verified that the facility currently has no active and/or suspected COVID-19 cases. During the inspection, LPA Bueno interviewed care staff regarding the facility's infection control measures and inspected the facility for regulatory compliance. LPA observed appropriate postings in the facility, including COVID-19 symptoms and infection control postings, which were in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases and that staff are trained in the facility's infection control measures. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for clients with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms. During the inspection, LPA did not observe PUB 475, Complaint poster. LPA did not observe private accommodations for live-in staff. LPA interviewed staff who stated that they live in the facility for 5 days. Refer to LIC809D for deficiencies cited. A technical advisory was provided to remind staff to wear face coverings. An exit interview was conducted where this report was discussed, and a copy of this report was provided to Judith Asia at the conclusion of the inspection.