Routine inspection·June 8, 2021

Licensing Program Analysts (LPA) Natalie Gayoso made an unannounced visit to conduct an annual inspection, with emphasis on infection control. LPA was greeted by caregiver RoseMarie Torres. Administrator Anne Mangagey was contacted and arrived shortly after. LPA explained the purpose of today’s visit and Administrator accompanied LPA on a tour of the facility. LPA toured the facility and made observations pertaining to the facility’s infection control measures. LPA observed proper signage throughout the facility, sufficient hand hygiene supplies, and sufficient cleaning and disinfecting provisions and sufficient 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, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in overall infection control. The facility has a plan in place which follows Community Care Licensing guidelines for when and how long to test staff and residents for COVID-19, when and how to isolate/quarantine clients, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas. The facility also has a plan in place to monitor clients regularly for any changes in condition and to subsequently notify the client's physician and to notify all emergency agencies in the event of any COVID-19 related and/or suspected illnesses. LPA observed two (2) residents to be bedridden. LPA reviewed resident files and verified R1 and R2 to be bedridden per physicians report. Facility’s fire clearance is approved for one bedridden. A deficiency will be issued on the attached LIC809D An exit interview was conducted and a copy of this report and LIC 809D, were discussed and provided to the Administrator.