Routine inspection·December 15, 2022

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Administrator Sarah Araya. The inspection is based on Infection Control practices of this facility. Upon arrival, LPA was screened by staff for Covid-19 which included a temperature check and signing in. LPA confirmed that facility is no longer requiring vaccination verification per recent guidance. LPA initiated a walk-through of the facility and observed the following: Facility has COVID-19 posters throughout that include hand washing signs in bathrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Staff had masks on during this visit. Commonly touched surfaces are disinfected at least once per day. Facility does perform daily screening of staff and residents and documents it in a binder. Facility has a designated visitation area outside and is allowing for visitation in resident rooms per CCL guidance. Staff continue to receive training on infection control and donning and doffing of Personal Protective Equipment PPE and have been N95 fit tested. Facility has submitted and CCL has reviewed their Covid Mitigation Plan. Facility has more than a 30 day supply of PPE including but not limited to masks, gowns, and hand sanitizer. Facility maintains a 30 day supply of medication. Fire extinguisher was last serviced January 2022. Smoke Detectors and Carbon Monoxide detector were tested and operational. Last disaster drill was conducted on September, 2022. Administrator provided copies of the following documents: LIC 308 Designated Administrator, LIC 610 Emergency Disaster Plan, LIC400 affidavit regarding client cash resources and surety bond. Administrator agreed to submit copies of the following by 12/29/22: LIC 500 Personnel Summary. No deficiencies cited during today's inspection.