Routine inspection·November 3, 2022

Licensing Program Analyst (LPA) Tammer de los Santos and Licensing Program Manager (LPM) Lizzette Tellez, visited the facility to conduct an annual required licensing inspection. LPA and LPM were granted entry into the facility by Celina Samonte, Caregiver and Lolita Tisbe, Assistant Administrator to whom they disclosed the purpose of the visit. Administrator Evelyn Salazar joined a few minutes later. During today's visit, LPA and LPM toured the facility and verified compliance with infection control practices. LPA and LPM observed one central entry point for universal entry screening; temperature check initiated at entry for staff, residents, and visitors; a sign-in policy enacted for visitors; signs in the facility to promote hand hygiene, cough / sneeze etiquette, symptom and transmission awareness; face coverings worn by staff; hand sanitizer readily available; available visitation area; emergency agencies’ contact information visible to staff; and an ample supply of cleaning products and personal protective equipment. Administrator previously provided a copy of the completed Infection Control Plan. No deficiencies were cited during today’s visit. An exit interview was conducted with Evelyn Salazar, Administrator, and copies of this report and Licensee Rights (LIC 9058) were provided to the administrator at the conclusion of the visit. Evelyn Salazar’s signature on this form acknowledges receipt of the rights and a copy of the report.