Routine inspection·September 14, 2021

Licensing Program Analyst (LPA) Yatfai Eric Ng conducted an unannounced infection control site visit. LPA met with the Licensee Victoria Regala. One central entry point was designated for all staff, residents, and visitors. A temperature screening station, questionnaire, and sign in sheet were present at the entrance. LPA was temperature screened before entering. LPA toured the facility. The facility was observed to be in sanitary condition. There were COVID-19 signs and hand sanitizers at the entrance and in the facility. LPA inspected 1 restroom that was not in use. The restroom was observed to be adequately stocked with paper towels, hand soap, and a covered trash bin. Hand washing sign was present. Hand washing sign was also posted in the kitchen to remind the staff to wash their hands before handling food. There was an adequate supply of personal protective equipment in the storage areas. A plan for epidemic outbreak specific to COVID-19 mitigation plan report (LIC 808) from the facility was in file. LPA discussed the infection control with Licensee. LPA reviewed the current Provider Information Notice PIN 21-40-ASC with Licensee. All residents and all staff were fully vaccinated and required so according to facility's policy. No deficiency cited during visit. This report was reviewed with Licensee. A copy of this report were provided.