Routine inspection·April 26, 2022

On April 26, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival, LPA observed the COVID-19 signage posted on the front door. LPA met with Caregiver, Joel Quizon and explained the purpose of the visit. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are present: entry procedures, face coverings, daily monitoring for residents and staff, and 30-day PPE supply. LPA observed the COVID-19 signage posted throughout the facility. Bathrooms are equipped with liquid soap, paper towels, and trash cans are covered with lids. LPA advised caregiver to ensure that there are no bar soaps in the bathroom and to keep paper towels instead of hand-towels. LPA observed 2 day perishable and 7 day non-perishable. Medications, toxins and sharps are stored appropriately and inaccessible to residents, and a comfortable temperature is maintained, lighting is sufficient for comfort. First aid kit was observed to be completed. Extra linen was observed to be present. Garage was observed to be locked and inaccessible to residents. In the garage, LPA observed extra food supply. Washers and dryers were observed to be in good working repair and all toxins were locked. The following updated forms are requested to be submitted to CCLD by 5/3/2022: -LIC308 Designation of Administrative Responsibility -LIC500 Personnel Report -LIC400 Resident Cash Resources -Administrator Certificate -LIC610E Emergency Disaster Plan Report is reviewed with caregiver and a copy is provided.