Routine inspection·September 13, 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 Sheryl Tapia and explained the purpose of today’s visit. The facility has a Mitigation Plan Report on file as required. During the inspection, LPA observed appropriate COVID-19 postings at the facility front entrance and throughout the facility itself. The facility has a COVID-19 symptom and temperature screening process in place which was 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). As documented in the facility's Mitigation Plan Report (Report), 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. Also detailed in the Report, 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. Additionally, the Report describes the facility's plan 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. During facility file review prior to this visit, LPA was unable to locate an Infection Control Plan (LIC9282). An Infection Control Plan was required to be submitted by June 30, 2022. The facility's Mitigation Plan Report will stay in effect until the completion and submission on the Infection Control Plan. The following deficiency was issued during today's visit. An exit interview was conducted, and a copy of this report was provided along with Appeal Rights.