Routine inspection·May 24, 2022

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required - 1 Year 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. LPA conducted a tour with Lead DSP Mark of the facility which was observed clean and at a comfortable temperature. All exits were observed unobstructed. A screening station was observed at front entrance of facility which had hand sanitizer, a thermometer, and a sign-in sheet for visitors and staff. LPA was screened for COVID-19 symptoms and temperature was taken and documented. All visitors are screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Staff verify visitor's vaccination status or a negative COVID test as required for indoor visitation. The facility has designated visitation areas, provides virtual visits and phone calls for family to stay in contact with residents. Staff and resident's temperatures are taken daily and documented. Staff clean and disinfect the facility 3 times daily and LPA observed documentation of a cleaning/disinfection schedule. Staff have documented completion on the following training: infection prevention, symptoms, transmission and PPE use. The facility has an ample supply of PPE including gloves, face shields, N-95 respirators, surgical masks and disposable gowns. LPA observed COVID-19 precaution postings, liquid hand soap and paper towels available in bathrooms. The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 which was reviewed by the California Department of Social Services, Community Care Licensing. LPA verified staff vaccination, all staff have completed and have documentation in their files. N-95 Fit testing for staff has been completed (LPA observed N-95 Fit test documentation and test kit for all staff); . LPA observed 4 residents in care participating in activities. All staff wore masks during this visit. Exit interview conducted with Administrator, whose signature on this document confirms receipt. No deficiencies cited during this inspection