Routine inspection·September 28, 2021

Licensing Program Analysts (LPA) Canela and Lopez arrived at this facility unannounced, to conduct an Annual Required infection control inspection. This inspection will focus on the Infection Control procedures and practices of this facility. LPAs met with Administrator Josephine Mendoza. There were 5 residents present at the facility. LPA arrived at the facility and had temperature checked, but no health questions asked. Staff on duty were not wearing a face covering upon LPAs arrival, but staff wore one for the rest of the inspection. Facility was found to be clean and at a comfortable temperature. Resident bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be charged and inspected within the last 12 months. Toxins are stored and not accessible, although there were a couple of clorox wipe containers, but administrator put them away. There was an ample supply of hygiene products and paper products available for resident use. Facility has submitted and received approval for a Covid Mitigation plan. Posters are in place at the entrance and throughout the building. The entrance area has a small table with hand sanitizer, thermometer and other items designated for visitors and staff before coming into work or visit. Facility has PPE supplies. Over the counter medication was observed in 1 of 6 residents bedrooms, not locked and accessible. Resident R1's is able to handle and keep their own over the counter medication but medication must be secured in a locked box to prevent access to resident R2 who has Dementia. Facility has a 30-day supply of medication. Residents do not typically wear masks inside the facility but have them available. Residents do however, wear masks while away from the facility. During the tour LPAs observed the two backyard gates needing repair, so that the doors open and close properly. Resident R2's bedroom door also requires to be repaired as the sliding door is not properly opening. Due to LPA Canelas time restraint, LPA will need to return to issue citations for medications not locked and facility operating requirements for doors not properly working. No citations issued at this time for todays inspection