Routine inspection·April 5, 2022

On 4/5/2022, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA did not observe any COVID-19 signs by the front entrance and LPA was not screened at the point of entry. LPA met with the administrator, Leonora and explained the purpose of the inspection. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies (the facility has dedicated a private room for isolation and quarantine). There are 6 residents at the facility (2 female and 4 male residents). There are 4 residents in the living and all of them were wearing face covering. The facility has 3 semi-private rooms and the beds were observed to be 6" apart. PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels, hand washing instruction was not observed. Trash cans in the kitchen are observed to be foot operated. Medications, and toxins stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete. During the inspection, the administrator was not able to observe the following: staff, and resident daily screening log, visitor's screening log upon entry, no COVID-19 signs posted in the facility and no hand washing, cough/sneeze etiquette, and physical distancing signs posted with the facility. Deficiency is observed and cited on a LIC 809Ds. Failure to correct the deficiencies may result in civil penalties. LPA Han requested for the documents to be submitted to the Regional Office by 4/8/2022: Emergency Disaster Plan LIC610E, LIC 500, LIC 308, and current administrator certification. This report is reviewed and discussed with the administrator. A copy is provided.