Routine inspection·November 24, 2021

Licensing Program Analyst (LPA) Dina Alviso conducted 1 year required inspection and met with Licensee/Administrator Josephine Blancaflor. 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, including providing proof of covid vaccination, are to be answered before being allowed to remain in the facility. All information is logged. Residents are screened and observed for any changes, 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. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to residents. All bathrooms had grab bars, and non-slip mat/flooring for showering/bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). Administrator and two caregivers on duty were observed by the LPA to be wearing masks during the inspection. Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. Mitigation plan was reviewed by the Department on 6/5/21. Fire clearance is approved for six (6) non-ambulatory, which includes one(1) bedridden approval (room #1 only). There were six (6) residents in care at the facility during this inspection. No deficiencies during today's inspection. No citations issued. Exit interview conducted with the Administrator.