Routine inspection·June 16, 2022

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced Required 1 - Year Visit. The LPA was greeted by Caregiver, Marilyn Ancho, identified himself, and discussed the purpose of the visit. Administrator, Todd Brooks, arrived during the visit. During today's inspection, the LPA reviewed resident records and observed the following: Exterior and interior passageways were free from obstructions. All of the residents’ rooms were equipped with the required furnishings. Residents’ bathrooms were observed to be sanitary and operational. The facility was stocked with a 2-day supply of perishable and a 7-day supply of nonperishable food items. In accordance with the Department’s Infection Control program, the LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan (LIC 808). The LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for visitors; a sign-in policy enacted for all visitors; Signs posted at facility entrance with the facility’s visitor policy, and signs throughout the facility to promote hand hygiene, Cough/sneeze etiquette and physical distancing; Face coverings worn by staff; Hand sanitizer/hand washing stations readily available; a designated visitation area; and emergency agencies’ contact information posted in a location visible to staff and residents. Based on observations, the facility is in compliance with and has implemented infection control practices as outlined in its LIC 808. No deficiencies were cited during the visit. An exit interview was conducted with Administrator, Todd Brooks, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided to.