Routine inspection·March 28, 2022

Licensing Program Analyst (LPA) Dina Alviso conducted 1 year required inspection and met with Administrator Tosha Sisneros, and Licensee Mera Shaughnessey The inspection is focused on the Infection Control procedures and practices of this facility. All visitors, essential visitors, and staff are screened upon entry; Temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Residents' are screened twice a day, and all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins are stored in locked cabinets, and the laundry room which contains cleaners and toxins was locked and inaccessible to residents in care. There was a sufficient supply of hygiene products, and paper products for use as needed. Medications were stored locked making them inaccessible to residents. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE) for staff use, and for residents as needed and/or wanted. Administrator and the Licensee had a mask on during the LPA's inspection. Facility has an approved dementia plan of operation. There is an approved hospice waiver for three (3) residents. Mitigation plan was received and reviewed by the Department. Fire clearance is approved for six (6) non-ambulatory, which includes one(1) bedridden, any resident room may be used for the bedridden (1)clearance. There were six (6) residents in care at the facility during this inspection. One resident on hospice care services. No deficiencies during today's inspection. No citations issued. Exit interview conducted with the Licensee.