Routine inspection·July 13, 2022

At 12:00 PM, on 07/13/2022, Licensing Program Analyst (LPA) Rohit Lama 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 identified himself to Eula Jones, Care Provider, and discussed the purpose of the visit. Prior to entry, the Care Provider ensured that LPA was masked. The Care Provider stated that all staff and residents were fully vaccinated and there were no recent positive COVID test results nor were there any individuals currently with COVID symptoms. Inspection Tool was utilized, Mitigation plan was reviewed. Facility was further inspected, and no deficiencies were noted. During the inspection, LPA Lama interviewed the Care Provider pertaining to the facility's infection control measures and other health and safety concerns. LPA Lama observed necessary signs posted in the facility, including signs related to COVID-19, which were in accordance with the Department's guidelines. The Care Provider stated that the facility is equipped with sufficient PPE, hand hygiene supplies, and sufficient cleaning/disinfecting provisions. LPA observed that the facility staff were wearing face coverings. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, 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 of residents, and properly caring for residents 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 subsequently notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms. CONTINUED ON LIC 809-C CONTINUED FROM LIC 809 Based on interviews and observations made during today’s inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed and a copy of this report was provided to the Care Provider at the conclusion of the inspection.