Routine inspection·November 5, 2021

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Required - 1 Year Inspection at approximately 12:00 PM, and met with administrator Chey Ilan. The inspection was focused on the Infection Control procedures and practices of this facility. Upon entry administrator asked LPA to sign-in on visitor sheet. Administrator took LPA's temperature. At primary entrance LPA observed visitor logs. LPA conducted walk through of the facility with administrator and observed COVID postings throughout. Facility was a comfortable temperature and exits were free from obstructions. Mitigation plan has been submitted and reviewed by Community Care Licensing (CCL). Hand sanitizer is kept throughout the facility. Per administrator, updated infection control guidelines and PINs are communicated to responsible parties when they visit. Staff have not completed Personal Protective Equipment (PPE)/infection control training nor been N95 fit tested. LPA provided guidance to contact local public health for training resources. High touch surface areas are disinfected daily. Facility has three shared bedrooms but a space is available to isolate a resident if necessary. LPA provided guidance to contact CCL regional office for more PPE. Visitation is allowed inside but there is also a designated space outdoors for visitation. Residents' emergency contact information has been updated and administrator confirmed staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible in locked hallway closet at the back of the facility. Medications are centrally stored in a locked cabinet making them inaccessible to residents. LPA requested updated copy of the facility's liability insurance. No deficiencies cited during today's inspection.