Routine inspection·March 10, 2022

On 3/10/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted the administrative manager, Gerogina Aguirre. 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, containment strategies, PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, hand washing instruction is posted by the hand washing stations. Trash cans are observed to have foot operated lids. The facility has 2-bed rooms and private rooms. The beds in the 2-bed rooms are observed to be 6" apart from each other. The facility has 2 ready-to-go isolation carts set-up with PPE supplies. Medications and chemicals are observed to be locked in a storage room with a digital lock. Sharps are stored appropriately and inaccessible to residents in the kitchen with a lock on the door and staff locks the door when he/she leaves the kitchen. LPA Han recommended to lock the drawer that stores the sharps inside the kitchen in addition to the lock on the door. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kits are inspected and complete. There are 17 residents, and 5 staff members present during the inspection. LPA requested for the following documents to be submitted to CCL by Monday, 3/14/2022 - A copy of the current administrator certification, LIC308 Designation of Administrative Responsibility, LIC402 Surety Bond, Control of Property and LIC610E Emergency Disaster Plan and update the Mitigation Plan LIC808 to reflect the current COVID-19 management process. No deficiency cited today. This report is reviewed and discussed with the administrative manager and the administrator who arrived at the end of the inspection. A copy is provided.