Routine inspection·November 8, 2021

On 11/8/2021, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by caregiver, Joy Bautista then the Health and Wellness Director, Catherine Villegas arrived at the facility and assisted with the annual inspection.. LPA explained the purpose of the visit and LPA was screened at the front entrance. 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 (residents are being screened 3 time per day), containment strategies (facility has designated rooms for isolation and quarantine purposes). PPE supply and the environmental cleaning supply are adequate (facility cleans and disinfects high touched surfaces 2x/shift and floor daily), bathrooms are equipped with hand washing instructions, liquid soap and paper towels. Bathroom Trash cans are with foot operated lids; LPA Han recommended to have foot operated lid or trash can with lid in the kitchen as well. Staff is observed to be wearing face covering and staff will continue to remind residents to wear face covering. The beds in the semi-private rooms are 6" apart from each other. COVID-19 signs, cough etiquette signs and hand washing signs are observed through-out the facility. LPA Han recommended to post hand washing sign by the kitchen sink. Medications, toxins and sharps are stored appropriately and inaccessible to residents, 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 today's inspection, LPA Han requested for the following document to be submitted to the Regional Office by 11/10/2021 - Updated Emergency Disaster Plan LIC 610E No deficiency cited today. This report is discussed and reviewed with the Health and Wellness Director. A copy is provided.