Follow-up·February 8, 2022

Licensing Program Analyst (LPA) Steve Chang, licensing Program Manager (LPM) Sarah Yip, and Program Clinical Consultant (PCC) Mirabelle Villamin conducted Technical Assistant - PCC through tele-inspection (Zoom),and met with Administrator (ADM) Theresa Carr. The purpose of this TA PCC Tele visit was to review the facility COVID-19 infection mitigation plan and conducted inspection of the facility to ensure plan is being carried out and to provide support and guidance to staff in mitigating the spread of virus. During tele-visit inspection, a tour of the facility was conducted which started at the main entrance to check COVID-19 signage and screening procedures. The facility has the COVID-19 posters at the main entrance including screening questionnaire forms, hand sanitizer, face masks, thermometer, glove, and a visitor log book at the screening station. The facility common areas were inspected such as the kitchen, living room, dinning area, bathrooms were observed. There are 6 resident single bedrooms, two and half bathrooms in facility. Trash cans were observed with covers. Paper towels with holders, and washing hands signs by the sinks were observed. Cloth towels were observed in the restrooms. The resident bedrooms were observed. ADM stated all the residents and staff are fully vaccinated and done with boosters. Based on today's inspection, the facility is being recommended the following: 1. Facility to frequently wipe and disinfect high touch areas. 2. Remove the cloth towels in kitchen and restrooms. 3. Monitoring residents and staff for symptoms and change of condition' 4. Do the laundry for negative residents first, then do the laundry for the positive residents. 5. Use high temperature hot water for laundry. 6. N95 Seal check reference: https://www.cdc.gov/niosh/docs/2018-130/pdfs/2018-130.pdf https://www.youtube.com/watch?v=oU4stQgCtV8 7. Facility to review PINs (Providers’ Information Notification) through CCLD website: www.ccld.ca.gov . 8. Facility to have more COVID posters in facility. 9. Facility to conduct staff training at least monthly or frequently such as donning and doffing PPE and COVID -19 updates. No deficiencies cited during today's Tele Visit. Exit interview conducted with Administrator. A copy of this report emailed to ADM for signature.