Routine inspection·June 22, 2022

On this day at 1300hrs, Licensing Program Analyst (LPA) Jaime Vado and Kevin Varilla conducted an unannounced infection control annual inspection. LPA met with administrator Ana Medorio and explained purpose of today's inspection. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is observed as in place. Medications, toxins and sharps are stored appropriately and inaccessible to clients. Facility ambient temperature is warm and comfortable, and lighting is sufficient for residents and staff safety. Toilet and bathing facilities are equipped with grab bars and non-skid flooring material. Liquid soap is available. First-aid kit is inspected and is complete. A Disaster and Mass Casualty Plan is observed. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been finger print cleared and associated to the facility. Administrator certificate is viewed as current expiring 11/12/2023. Mitigation plan is reviewed with the administrator. It is current with no changes. LPA Vado reviewed the mitigation plan with the administrator and approved on this day. The following updated forms are requested to be submitted to CCLD by 06/29/2021 : • Administrator Certificate • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Emergency Disaster Plan No deficiencies cited today. Report is reviewed with administrator Ana.