Routine inspection·June 17, 2021

Licensing Program Analysts (LPA) Victoria Willis and Erik Gonzalez Campos arrived unannounced to conduct an annual required inspection and were greeted by staff member Noel Marayag. Licensee/Administrator Bot Alicdan was available by phone. The inspection is focused on the Infection Control procedures and practices of this facility. Upon arrival, LPAs were asked to sign in but were not screened for COVID symptoms. LPAs initiated walk-through of the facility at 2:30 PM and observed COVID-19 posters throughout that included hand washing, cough etiquette etc. Facility was a comfortable temperature and exits were free from obstructions. Infection control has been discussed with residents and staff. Hand sanitizer is located throughout the facility for resident and staff use. Commonly touched surfaces are disinfected each shift and after every meal. Common areas are set up for social distancing. Facility has a designated visitation area outside. Staff have completed PPE training but have not been N95 fit tested. COVID mitigation plan was reviewed and approved during visit. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including but not limited to masks, face shields, gowns and hand sanitizer. Facility maintains a 30 day supply of medication. Facility has 100 percent vaccination rate of staff and residents so may discontinue surveillance testing per PIN 21-28-ASC. Continued on LIC809C Continued from LIC809 LPAs provided the following guidance; Administrator to review PINs 21-17-ASC and 21-17.1-ASC with staff for new guidance regarding visitation, communal dining, etc. Facility to screen all visitors upon entry to facility and document Administrator to have staff N95 fit tested Administrator and LPAs discussed their Emergency Disaster Plan. No deficiencies cited during this inspection.