Routine inspection·September 30, 2021

Licensing Program Analyst (LPA) Victoria Willis arrived unannounced to conduct an Annual Required inspection and was greeted by staff. Licensee/Administrator, Arthur Alcones arrived later. The inspection is focused on the Infection Control procedures and practices of this facility. Upon arrival, LPA observed that the facility has Covid-19 signs on the exterior door notifying visitors of the facility visitation policy and Covid-19 precautions . LPA was asked to sign in and temperature was taken and documented. LPA conducted a walk-through of the facility and observed the following: Facility has Covid-19 posters throughout including but not limited to hand washing and cough etiquette. Facility was a comfortable temperature and exits were free from obstructions. Infection control is discussed with residents and staff. Residents receive assistance with hand washing. Residents are encouraged to wear masks when in the community and staff are required to wear them while in the facility. Observed staff had masks on during this visit. Commonly touched surfaces are disinfected at least twice per day. LPA confirmed that residents and live-in staff temperatures are being checked twice per day. Other staff temperatures are checked prior to coming on shift. LPA and staff discussed resident activities and visitation. There is a designated outdoor area for visitation. Facility has reviewed PIN 21-40-ASC regarding visitation, testing and vaccination verification guidance for visitors and PIN 21-44-ASC regarding worker vaccination requirement. Facility has submitted their Covid Mitigation Plan and it has been reviewed. 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. PPE is located in an area that is accessible to staff who need it. Caregivers have completed PPE training and have been N-95 Fit tested. Facility maintains a 30 day supply of medication. Facility recently had a fire inspection and no issues were noted. Administrator and LPA discussed their Emergency Disaster Plan. No deficiencies cited during this inspection.