Routine inspection·January 31, 2023

Licensing Program Analyst (LPA) Victoria Chitgian made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA met with Caregiver Maria Ventress who confirmed that there are no cases/exposures of COVID-19 within the facility. Per review of documents and interview with staff, the facility has not had any cases of COVID-19. At the time of visit there was one (1) staff, and three (3) residents present. During today's visit, LPA toured the facility and made observations pertaining to the facility's infection control measures. LPA observed proper cleaning and disinfection provisions in place. The facility has submitted a Mitigation Plan as required to the LPAs email address. LPA requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was limited. LPA observed several boxes of gloves, however one (1) box of surgical masks and two(2) bottles of sanitizer. Over the phone with Administrator Martin, LPA discussed obtaining a full 30-day supply of PPE items such as gowns, surgical masks, N95 masks, disinfectant, and hand sanitizer supply. LPA will issue two(2) Technical Assistance Advisory Notes (TA) for not having a full 30-day supply of PPE. Signage for promoting handwashing, cough/sneeze etiquette, and physical distancing were also not observed. LPA will issue a TA note for lack of signage. Based on the observations made during todays visit, no health or safety concerns were noted. No deficiencies will be issued per Title 22, Division 6 of the California Code of Regulations. An exit interview was conduced and a copy of this report (LIC 809) and TA notes( LIC 9102) were given to Staff Maria Ventress.