Routine inspection·September 1, 2021

Licensing Program Analyst (LPA) Karen Lopez arrived unannounced to conduct an Required- 1 year annual inspection and met with Administrator, Magracia Manalo. The annual inspection was focused on the Infection Control procedures and practices. LPA conducted risk assessment with administrator prior to visit. LPA conducted a walk-through of the facility with Administrator. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on December 11, 2020. Facility smoke detectors and carbon monoxide were found to be functioning properly at the time of the visit. There was sufficient amount of supply for both perishable and nonperishable foods. LPA observed COVID-19 precaution postings. A screening station was observed at front entrance of facility which had hand sanitizer, a thermometer, and a sign-in sheet for visitors and staff. Visitors and staff are screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Resident's temperatures are taken once a day and LPA observed documentation. Staff clean and disinfect the facility twice daily. Administrator stated high touched surface areas are disinfected two times a day. The facility has designated visitation areas, provides virtual visits and phone calls for family to stay in contact with residents. LPA observed 5 residents in care. Staff have completed training on infection prevention, symptoms, transmission and PPE use. N-95 respirator Fit testing (Cal/OSHA requirement) is in process. The facility has a supply of PPE including gloves, face shields/goggles, N-95 respirators, surgical masks and disposable gowns. The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 which was reviewed by the California Department of Social Services. Exit interview conducted with Administrator, whose signature on this document confirms receipt. No deficiencies cited during this inspection