Routine inspection·June 28, 2022

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection focusing on infection control. LPA met with Licensee Dominica Oliva. During visit, LPA toured the facility to include the resident rooms, bathrooms, living rooms, kitchen, and backyard. Toxins and sharp objects were observed secured. Facility has a designated entry point for all visitors to include sign-in, symptom screening and temperature check. Hand sanitizer made available upon entry and throughout the facility. Bathrooms observed supplies with hygiene products, paper products, and hand washing sign. Trash can observed covered with lid. LPA observed Personal Protective Equipment (PPE). LPA advised to keep an adequate amount of PPE supplies in the facility at all times. Facility staff clean and disinfects multiple times daily and as needed. Staff are trained on infection control. Staff are scheduled for N95 fit testing on July 11, 2022. Facility has a procedure for visitation, LPA advised to refer to PIN 22-07-ASC. The following posters observed to include cough etiquette, symptoms and warning signs of COVID, and visitor guidelines. LPA observed the sliding door in the living room which is used for emergency exit in disrepair, making it difficult to slide open. During visit, staff repaired the sliding door. Updated documents were obtained to include the LIC610 and LIC308. Licensee will send LPA the updated Administrator certificate and LIC500. No deficiencies were cited per California Code of Regulations, Title 22. Advisory notes provided. This report was reviewed with the Licensee and a copy of the report was provided.