Routine inspection·May 27, 2021

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required inspection and met with Josephine Sana, Administrator. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. Upon arrival, LPA observed a screening station at the entrance of facility which had hand sanitizer, a thermometer, and a sign-in sheet for visitors and a separate sign-in sheet for staff. Administrator took LPA's temperature, documented LPA's name and asked the facility's COVID-19 screening questionnaire at the front entrance. Staff and visitors are screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Resident's temperatures are checked twice a day, as well as their oxygen levels and screening for symptoms. LPA conducted a walk-through of the facility with Administrator and observed COVID-19 precaution postings. Staff clean and disinfect the facility daily during every shift. LPA observed documentation of cleaning and disinfection schedule. The facility has a designated visitation area, provides virtual visits and phone calls for family to stay in contact with residents. Administrator confirmed 90% of staff are surveillance tested for COVID-19 weekly; LPA observed copies of surveillance test results in a facility binder. LPA observed 4 residents in care, who were participating in activities and getting ready for lunch. Facility staff have completed PPE training and N-95 respirator Fit testing is in process. LPA observed an ample supply of PPE including gloves, face shields, goggles, N-95 respirators, surgical masks and gowns. LPA observed plastic drawer space with PPE for all/each staff and plastic containers with PPE for each resident as a precaution for possible outbreaks. All staff wore face masks during this visit. Exit interview conducted with Administrator, whose signature on this document confirms receipt. No deficiencies cited during this inspection