Routine inspection·October 6, 2022

On 10/06/22 at 10:15 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility listed above. LPA met with Staff #1 (S1) and explained the purpose of the visit. At 10:45 am, Susan Samayoa, Lead Caregiver, arrived at the facility, and LPA and explained the purpose of the visit. LPA toured the facility with S1 and observed the following: The facility has soap and paper towels for residents’ bathrooms and handwashing signage. The fire extinguishers (two) are located in the hallway near resident bedrooms and the kitchen. The extinguishers are fully charged and were inspected on 11/08/21. The facility has infection control signage at the front door and signage throughout the facility on handwashing, cough etiquette and use of masks. Upon entry to the facility, LPA was screened. Staff were wearing masks. CDSS Provider Information Notices (PINs) were not readily accessible. Lead Caregiver will ensure these are made available in an accessible location for residents and staff. Lead Caregiver will send LPA a photo by 10/13/22. At 10:55 am, LPA conducted the Infection Control mitigation module with the Lead Caregiver. No deficiencies cited. Exit interview conducted and the report emailed to the Executive Director and Supervisor.