Routine inspection·January 27, 2023

On 1/27/2023, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Administrator, Ana Pacheco. 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 (staff is being screened by the receptionist when they arrive and when they leave), containment strategies( the facility has reserved a private room with a private restroom and equipped with a PPE supply cart). PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap, paper towels, hand washing instruction is posted by the hand washing stations. There are 2 dining rooms on the 2nd and 3rd floor, 1 nursing station on each floor and medication room is located on the 2nd floor. COVID-19 signs observed to be posted around the facility. The beds in the shared bedrooms are 6"feet apart. LPA observed COVID-19 signs are posted in the staff lounge. There are hand sanitizer dispensers installed in front of each elevator and in the nursing stations. The high touched areas are being disinfected every hour including the public phone on both floors. Medications, toxins and sharps are stored appropriately and inaccessible to resident; first aide kit inspected and complete; a comfortable temperature is maintained, lighting is sufficient for comfort. No deficiency cited today. This report is reviewed and discussed with the Administrator, Ana Pacheco. A copy is provided.