Routine inspection·May 13, 2022

At approximately 10:45AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct an Annual Inspection visit and was greeted by Administrator, Lovelyn Hojilla. The inspection is focused on the Infection Control procedures and practices of this facility. Upon arrival at the facility, LPA had their temperature checked and logged. LPA answered a standard COVID-symptom questionnaire. LPA conducted a walk-through of the facility and observed the following: COVID-19 signs were observed at the entry way and throughout the facility. Hand-washing signs were observed in the bathrooms and at sinks. All staff present were observed to be wearing a mask. The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility has a cleaning and disinfecting schedule that occurs twice per day. Facility has at least a 30-day supply of Personal Protective Equipment (PPE) and medication for clients. Staff and Residents are screened daily for COVID-19 symptoms and it is logged into facility binders. Facility has a plan in place if a staffing shortage were to occur. Fire extinguishers were last serviced May 2022. Fire alarm system and carbon monoxide detector were tested and operational. Continued on LIC-809C Continued from LIC-809 LPA and Administrator discussed PIN 21-43-ASC regarding Mitigation Plans and PIN-22-13-ASC regarding Infection Control Plans. LPA requested the following documents to be submitted to CCL by Close of Business, Wednesday, 5/18/2022: Updated LIC 500 (Personnel Report) No Deficiencies cited during this inspection.