Routine inspection·May 19, 2021

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required inspection and met with Licensee, Gwen Martinez, and Administrator, Madonna Martinez. The annual inspection is focused on the Infection Control procedures and practices of this facility. Upon arrival, LPA observed a screening station at the entrance of facility which had hand sanitizer, a thermometer, a box of surgical masks and gloves, and a visitor sign-in sheet. Licensee took LPA's temperature and LPA signed visitor sign-in sheet. LPA and Administrator discussed documenting temperatures and screening questionnaires. LPA conducted a walk-through of the facility and observed COVID-19 postings. Facility screens residents twice per day and staff/visitors are screened for COVID-19 symptoms upon arrival. Staff clean and disinfect the facility daily and as needed (high touched surfaces are disinfected regularly/after use). Licensee confirmed 25% of staff are surveillance testing weekly. LPA observed 3 residents in care, all three were in their rooms upon arrival and later were observed enjoying lunch. Facility staff have completed PPE training and N-95 Fit testing is in process. Facility has submitted a COVID-19 Mitigation Plan and it was approved. LPA observed a supply of PPE including gloves, face shields, masks and gowns. All staff wore face masks during this visit. LPA and Administrator discussed questions regarding regulations and facility files (for staff/resident, emergency disaster drills, and medication). LPA requested updated facility forms to be submitted to Community Care Licensing (CCL) for the facility file. Exit interview conducted with Administrator, whose signature on this document confirms receipt. No deficiencies cited during this inspection