Routine inspection·June 2, 2021

Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual required inspection. LPA met with the Director of Day Care, Sandy (Sandra) Ishii. At 10:15am, LPA arrived at the facility and were greeted by staff. LPA observed COVID-19 signs posted at the facility entrance. At 10:15am, LPA was properly screened and toured the facility beginning in the front entrance where CVOID-19 signs are posted. The water fountains on the 1st and the 2nd floor are block off by blue tapes with a sign stating, " Do not use; out of order" to ensure no one is using them. The dinning room has 4 long tables and the chairs that are spaced to promote social distancing. COVID-19 Infection Control signs are posted throughout the facility both in English and Japanese. There are signs in the elevator for social distancing and reminder no more than 2 people at the same time. There were residents watching TV on the 1st floor with social distancing and face covering. The sofas in the first floor Activity Room are marked with blue tapes to ensure social distancing is maintained. Hand washing stations were equipped with paper supplies and soaps and hand hygiene signs are posted around the faucets. All the bathrooms are equipped with wall mounted mental trash cans but without lids; LPA recommended to have trash cans with step-on lids. The facility has designated an isolation room on the 2nd floor with an isolation cart set-up. PPE supplies are stored in the isolation cart on the 2nd floor, by the front entrance and in the staff break room. The facility has both indoor and outdoor designated visitation areas. All visits are scheduled and all visitors are screened at the entry point. If the visit takes place outdoor, the visitor is instructed to use the side door with a screening station set-up by the entrance. If the visit takes place indoor, the visitor gets screened by the front entrance. The bed rooms were observed to be furnished per Title 22 regulations. Beds were spaced at least 6 feet apart or 3 feet apart with head-to-toe orientation. At 11:20PM, the Administrator, Linda Ishii arrived at the facility and provided LPA with request documents. LPA has discussed the importance of N95 fit testing for staff members. LPA alerted the Administrator to refer to PIN(s) including but not limiting 21-12 ASC on N95 fit testing. No deficiency was cited today. This report was discussed and reviewed with the Administrator. A copy was provided during visit.