Routine inspection·October 14, 2021

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required – 1 yr. Infection Control inspection and met with Licensee, Orr Chistiakoff and Administrator Carlos Pallais. LPA conducted a Risk Assessment call with Licensee prior to the visit. LPA arrived at the facility and had their temperature checked and logged into a sign-in sheet. LPA observed that facility has posters on the front door indicating visitors about updated visitor's policy to protect residents in care. Once inside the facility, LPA observed that staff were wearing masks during this visit. LPA conducted a walk-through of the facility and observed Covid-19 posters that included hand washing signs in restrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept in the common area and throughout the facility. Facility has multiple bathrooms that are kept stocked with hand hygiene products. Commonly touched surfaces are disinfected at least one time a day. Facility has designated an outdoor area for visitation. All residents are located in single rooms in case that they need to isolate and is able to serve meals and deliver medications. Facility staff have been trained on PPE protocols but not all staff have been N-95 fit tested. Staff and residents are being monitored daily and results are documented in a clipboard for each month. Facility maintains a 30 day supply of medication. Facility has a 100% vaccination rate of staff and residents. Residents do not typically wear a mask while in the facility, but they do wear masks when in the community. Activities had been reduced to more outdoor areas to prevent the spread of the virus. Residents have access to alternative communications as phone calls and video calls with their families. Facility has submitted their Covid Mitigation Plan and approved on 3/29/21. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including masks, face shields, gowns and hand sanitizer. PPE supplies are located in an accessible place for all staff. Administrator/Licensee agreed to submit the following documents by 10/18/21: Designation of Responsibility (LIC308), Lease agreement, liability insurance and Personnel Report (LIC500). No deficiencies observed during today's visit.