Follow-up·January 6, 2022

Licensing Program Analyst (LPA) Steve Chang, licensing Program Manager (LPM) Romeo Manzano, and Program Clinical Consultant (PCC) Roxane Fangon conducted Technical Assistant - PCC through tele-inspection (Zoom),and met with Administrator (ADM) Jocelyn Real. 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. Two staff were observed in facility. The facility common areas were inspected such as the kitchen, living room, family room, dinning area, bathrooms were observed. There are 3 resident shared bedrooms, 1 staff live-in bedroom, and 2 bathrooms in facility. Trash cans with covers, paper towels with holders, and washing hands signs by the sinks were observed. The laundry room was observed and inspected. The resident bedrooms were inspected. The beds in the shared rooms were observed in 6 feet apart. ADM stated all the residents and staff are fully vaccinated and finished with booster shots. Based on today's inspection, the facility is being recommended the following: 1. Facility to wipe and disinfect high touch areas more often. 2. Remove the extra chairs in living room, family room, and dining area to keep social distancing. 3. Separate the laundry loads for positive and negative cases. 4. Use high hot temperature with laundry machine for COVID positive cases. No deficiencies cited during today's Tele Visit. Exit interview conducted with Administrator. A copy of this report emailed to the facility for signature.