Post-licensing visit·August 26, 2021

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a Post Licensing Inspection and met with Michelle Jangar, Administrator. The Post Licensing Inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. LPA observed a screening station at the entrance of facility which had hand sanitizer, a thermometer, and a sign-in station for visitors. Visitors are screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Staff and clients' temperatures are taken at least once a day and are documented. LPA conducted a walk-through of the facility with Administrator and observed COVID-19 precaution postings at the entrance to building, in common areas and bathrooms and kitchen. LPA observed facility was a comfortable temperature. Staff clean and disinfect the facility daily. High touched surface areas are disinfected after each use. The facility allows visitation in the private rooms or outside with masks, provides virtual visits and has a house phone for family to stay in contact with residents. Administrator reported that new residents and new hires will be Covid -19 tested prior to admittance or hire, and 25% of staff and residence are surveillance-tested every two weeks. LPA observed 4 residents in care, 1 in hospital. Facility staff have completed training on infection prevention, symptoms, transmission and PPE use. N-95 respirator Fit testing is in process.LPA observed a supply of PPE including: gloves, face shields, N-95 respirators, surgical masks and gowns. All staff wore a face mask during this visit. The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 to the California Department of Social Services. 2 Fire Extinguishers were up to date and easily accessible. All exits were unobstructed and had auditory alarms. LPA observed that 3 staff were up to date with CPR and First Aid certification. Exit interview conducted with Administrator Jangar, whose signature on this document confirms receipt. No deficiencies cited during this inspection. Inspection Tool Notes: Infection Control Practices - No Deficiency: 130 - Staff is in process of fit testing.