Routine inspection·August 13, 2021

Licensing Program Analyst (LPA) Victoria Willis arrived unannounced to conduct an Annual Required inspection and was greeted by staff. Licensee, Joy Ortega arrived later. The inspection is focused on the Infection Control procedures and practices of this facility. Upon arrival, LPA observed that facility has hand sanitizer outside of the facility and a table just inside the entrance to the facility with hand sanitizer, a thermometer, disinfectant wipes and a sign in sheet. A staff took LPA's temperature and asked screening questions. LPA conducted a walk-through of the facility and observed that all exits were free from obstructions and Covid-19 posters were posted throughout the facility that included hand-washing signs in each bathroom. Facility screens residents twice a day and staff daily for Covid-19 symptoms and documents in a log. Facility also logs when staff disinfect the facility which is twice per day and as needed. Per Licensee, 100% of staff and residents are vaccinated so they have discontinued surveillance testing per CCL guidance. LPA observed six residents in care, three in their rooms and three in the living room. Per Licensee, two residents eat in their room and three eat in the dining room but are staggered. Facility staff have completed PPE training and have been N-95 Fit tested. Facility allows for visitation and has two designated visitation areas; one in the garage and one outside. Facility has submitted a Covid Mitigation Plan that was reviewed by CCL on July 12, 2021. LPA observed more than 30 days of PPE including gloves, face shields, masks and gowns. All staff had masks on during this visit. Smoke alarms were tested and operational. LPA and Licensee discussed facility's Emergency Disaster Plan. No deficiencies cited during this inspection.