COVID-19 check·August 17, 2021

Licensing Program Analyst (LPA) Christine Dolores conducted a scheduled technical assistance visit and met with Lead Staff, Claudia Elias. During visit, LPA conducted a Facetime tour of the facility with Program Clinical Coordinator (PCC) Helen Shi and Licensing Program Manager (LPM) Jackie Jin. The purpose of the visit was to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility. Lead Staff, Claudia Elias reports that there are currently 6 COVID-19 positive residents and 1 COVID-19 positive staff. LPA toured the facility inside and out to include: entry point, common sitting area, dining room, resident rooms, green zone, red zone, bathrooms, and outdoor seating. LPA observed hand-washing signs in the bathrooms, visitor/staff screening logs, donning and doffing posters outside each residents room, and sufficient PPE supplies. During today's tele-visit, the following recommendations were made to the facility by PCC Helen Shi: 1. Always keep COVID-positive resident rooms closed, at all times 2. Place plastic shield/covering separating red and green zone 3. Place trash can with lid next to exit door in the red zone 4. Designate a back door for staff entrance and exit in red zone 5. Place a trash can with lid on the outside of COVID-positive room for disposal of N95 masks in green zone 6. Post COVID-19 postings throughout facility 7. Monitor residents who are asymptomatic every 4 hours 8. Monitor residents are who symptomatic more often, as needed See LIC-809C for more information. During visit, Lead Staff Claudia Elias closed all COVID-positive resident doors. Manager also placed trash can with lid outside the door of COVID-positive resident in green zone area. No deficiencies were cited as per California Code of Regulations, Title 22. This report was reviewed via tele-visit and email copy was provided to Lead Staff, Claudia Elias, for signature.