Routine inspection·June 10, 2021

Licensing Program Analysts (LPAs) K, Walters and J. Nakagawa conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was greeted by Licensee. Lovelyn Hojilla ( 6055000740 exp 1/5/2022) . LPAs conducted a Risk Assessment with Administrator. There were 4 staff providing care and supervision for 6 residents. LPAs observed that all staff were wearing face mask and disposable gloves. LPAs temperatures were checked upon entry and logged into a binder. Hand sanitizer and disposable mask were available. LPAs/Licensee conducted a tour through the facility and observed that the facility was a comfortable temperature of 72 and passageways were free from obstructions. Resident rooms were furnished per regulation. Extra hygiene products and linens were available. Signs were posted throughout the facility to promote hand washing and social distancing. Residents temperatures are being monitored daily and results are documented in residents binders. Facility has a 60 day supply of PPE stored in the garage. Facility has a 30-day supply of medication for residents. Facility has conducted staff training on infection control. Administrator will have all staff fit tested for N95 mask. LPAs provided Administrator with a copy of PIN 21-10. LPAs is requesting that the Administrator make changes to their mitigation plan and send a copy to Community Care Licensing CCL attention LPA Walters by 6/15/2021. No deficiencies were cited during today's inspection.