Routine inspection·May 25, 2022

Licensing Program Analyst (LPA), Janira Arreola made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted entry by Licensee, Vesna Ilich . who was informed of the purpose of the visit. At the time of visit there were 3 staff and 6 residents present. The facility currently has zero positive Covid-19 cases. During today's visit, LPA toured the facility and made observations regarding the infection control measures that the facility has implemented. LPA observed Covid-19 postings at the facility. A single entry point was designated where symptoms screenings and temperature checks occur daily for all visitors, residents, and staff. The facility had a plan in place to monitor residents regularly for any changes in condition. The facility had an adequate amount of hand hygiene supplies (soap, hand sanitizer, paper towels) in all restrooms. Common areas such as dining rooms and living rooms have been modified with social distancing and masking policies. There are designated isolation rooms and a plan in place to monitor and attend to those in the isolation rooms. LPA observed a sufficient 30-day supply of PPE equipment. The facility also has a designated infection control lead and a plan in place to clean and disinfect the highly touched surfaces. LPA reviewed Mitigation Plan at the facility that was submitted to the department. LPA observed S1 was on the roster and had a determination of "Closed- Fingerprints Not Taken" on Guardian website. Licensee was able to show LPA copy of roster sent from the department 04/29/2022 that the employee has a cleared status. LPA advised Licensee to contact Guardian and have employee refingerprinted. There were no deficiencies noted at the time of the visit. An exit interview was conducted, and a copy of this report was reviewed and provided to facility Licensee, Vesna Ilich .