Routine inspection·March 23, 2022

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with, care staff, Remedios Sunga . Administrator, Magdalena Casuga and Aileen Bryant were called and arrived a few minutes later. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. This facility is licensed for a total of 5 in which 3 of the residents may be non ambulatory. There are currently 3 residents in the home. LPA toured facility and grounds and observed COVID-19 precaution signs posted in common areas to promote hand washing and Covid precautions. LPA was screened for COVID-19 symptoms upon entrance to this facility. Visitors are said to be screened for COVID-19 symptoms upon arrival to the facility. Infection control practices present: entry procedures, mask wearing, daily monitoring and temperatures checked for residents and staff, and 30-day PPE supply. Facility to follow indoor visitation requirement of verifying and tracking COVID-19 vaccination or verify non-essential visitors have proof of a negative COVID-19 test. Facility states staff clean and disinfect the facility daily. Bathrooms are equipped with liquid soap and paper towels. Covid-19 Mitigation plan was reviewed 8/16/2021. Caregivers have completed PPE training and provided proof of being N-95 Fit tested. In addition, facility was found to be clean at a comfortable temperature. Facility has at least two days of perishable and one week of non-perishable foods. Fire Extinguisher was found to be charged, and serviced 3/3/2022. LPA requested facility to submit a facility sketch identifying all resident rooms, staff rooms and ambulatory status. Send in updated LIC9020, LIC500 and facility sketch by 3/29/2022. No citations issued during this visit.