Routine inspection·November 3, 2021

At 2:14 pm, on 11/03/2021, Licensing Program Analyst (LPA) Darlene Chavez conducted an unannounced annual infection control inspection of the facility above. LPA informed Licensee/Administrator Angelita Maravillas of the reason for the visit. LPA and Ms. Maravillas toured the facility. LPA’s initial tour of the facility resulted in observations which were immediately addressed by facility: At 2:14 pm, LPA requested the facility screen LPA for COVID-19 upon entry to facility which was immediately conducted. The facility has two front doors, one of which was locked, however, licensee will add signage to the sliding glass door to direct visitors to the main front entrance which is the central entry point. At 2:15 pm, LPA entered the facility and observed the licensee and six guests/family in the front room not wearing masks. Licensee stated they were gathering for a family occasion and didn’t have masks on because they were just about to eat. LPA observed food on the table and kitchen areas. At 2:21 pm, LPA noticed the bathroom at the back of the house did not have handwashing signage. License will post immediately. At 2:29 pm, LPA tested the delayed egress in the bedroom at the front of the house, and it did not alarm. Licensee immediately reset it, tested it, and it worked. At 2:32 pm, LPA observed that the complaint poster was missing from the facility. Licensee will post a 20"x26" poster in yellow immediately. Licensee will begin recording daily temperature checks and symptom screening of residents, staff, and visitors effective today. At 2:39 pm, LPA conducted the Infection Control mitigation module with Ms. Maravillas. No deficiencies noted. However, licensee will send LPA training sheet for staff who have been fit tested for N95 respirators and will send to LPA by 11/05/21. Exit interview conducted and report emailed to the licensee.