Routine inspection·March 29, 2022

Licensing Program Analyst (LPA), Walters arrived unannounced to conduct a Required- 1 Year, annual visit and was greeted by Administrator, Esther Penaflor. This 1-year annual visit will focus on the inspection control of this facility. The facility submitted an infection control mitigation plan which was approved by Community Care Licensing on 12/28/21. At approximately 9:50 AM, LPA began tour and inspection of the building and grounds which was found to be clean and a comfortable temperature. At the entrance of the facility there is a sign sheet for visitors, with hand sanitizer and disposable mask. Facility has an additional 30 day supply of incontinence product's and Personal Protective Equipment which include: N95 mask, gowns, gloves and face shields. Restrooms were stocked with liquid soap and paper towel. Medication was centrally stored. Toxins were secured in a locked cabinet in the kitchen. Smoke detectors and Carbon Monoxide detectors were tested and appeared to be in working order. Fire Extinguishers were last serviced 01/17/2022. LPA reviewed resident and staff records. Staff and Resident vaccine cards were on file. All residents and staff have been vaccinated. Administrator was unable to provide LPA with staff's infection control training. Administrator stated that all staff are scheduled for PPE and infection control training on 4/8/22. LPA is requesting that facility submits a copy of staff training performed, training to include topics, staff signatures and dates by 4/15/22. LPA and Administrator discussed: Adding additional signs throughout the facility to promote social distancing and promote hand washing and, Documenting all staff training's. There no deficiencies cited during today's visit. Exit interview conducted.