Routine inspection·February 18, 2022

Licensing Program Analyst (LPA), Erik Gonzalez Campos arrived unannounced to conduct a Required - 1 Year inspection at approximately 8:30 AM, and met with staff, Edward Alicdan. The inspection is focused on the Infection Control procedures and practices of this facility. Upon entry LPA was screened for COVID symptoms and asked to sign in by staff. At primary entrance LPA observed visitor sign-in sheet. LPA conducted walk through of the facility with staff and observed COVID postings throughout. Mitigation plan was submitted by licensee and reviewed by Community Care Licensing. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Per staff, updated infection control guidelines and PINs are communicated to responsible parties verbally. Staff have not been N95 fit tested. High touch surface areas are disinfected daily. Due to current facility census residents could isolate in their own rooms if they became ill. LPA observed necessary PPE to support a resident in isolation. Residents are monitored daily for symptoms and screened upon returning from outings Residents' emergency contact information has been updated and staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible to residents under the kitchen sink and in garage. Medications are centrally stored and inaccessible to residents on a locked medication cart. All residents have received their booster shot. All staff have received their booster shot. Facility is not currently conducting surveillance testing but has a supply of antigen testing kits. Continued on LIC 809C Facility is allowing residents to have meals in the dining room and furniture is set up for social distancing. Common areas are also set up for social distancing. Facility is not currently allowing visitation indoors unless a visitor is fully vaccinated. LPA provided guidance to review PIN 22-07 and indicated that visitors who do not meet vaccination requirements may visit indoors with proof of negative test. LPA requested the following documents during the visit: LIC 500 LIC 308 Liability Insurance Emergency Disaster Plan No deficiencies cited during this inspection.