Routine inspection·October 24, 2022

Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct an annual inspection with emphasis on infection control. LPA met with Caregiver Jaime Avellaneda and explained the purpose of today’s visit. Licensee Jerri Bandoy arrived shortly thereafter. The facility has a Mitigation Plan Report on file as required however, an Infection Control Plan has not been received. The Licensee was granted a waiver under the authority of Governor Newsome's Executive Order N-11-22 issued on June 17, 2022, and the Licensee agreed to submit the Infection Control Plan by December 24, 2022. During the inspection, LPA inspected the facility for regulatory compliance related to infection control. LPA observed appropriate postings at the facility front entrance, including COVID-19 symptoms postings and visitation policies, 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). LPA observed facility staff wearing appropriate face coverings. The facility has a designated infection control lead person/infection preventionist who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring staff are trained in the facility's infection control procedures, and ensuring infection control measures are implemented. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for residents and staff 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, emergency personnel, and responsible party in the event the resident presents with any COVID-19 symptoms. No deficiencies were observed during today's visit. An exit interview was conducted, and a copy of this report was provided along with LIC9102- Technical Assistance.