Routine inspection·October 21, 2021

Licensing Program Analyst (LPA) Victoria Willis arrived unannounced, to conduct an Annual Required inspection and met with Administrator, David Uballez. The inspection is focused on the Infection Control procedures and practices of this facility. Upon arrival, LPA was asked to sign in and had their temperature checked. Facility also requested to see LPA's Covid-19 vaccination card per visitor guidance outlined in Provider Information Notice 21-40-ASC. LPA conducted a walk-through of the facility which included Assisted Living and Memory Care with the Administrator and observed Covid-19 posters throughout the building that included hand washing signs in restrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer was observed throughout the facility specifically inside of elevators and in common areas and hallways. Per Administrator, they regularly discuss infection control with residents and staff. Residents are encouraged to wear masks when in common areas of the facility and staff are required to wear them while in the facility. Observed staff had masks on during this visit. LPA and Administrator discussed resident activities and visitation. Facility has an Activities Director five days per week who plans a facilitates resident activities. Visitors usually visit in resident's rooms but the facility also has designated visitation areas outside, weather permitting. Caregivers have completed PPE training but have not been N-95 Fit tested. Administrator is researching how to obtain fit testing to comply with CalOsha standards. Commonly touched surfaces are disinfected at least once per shift. Dining room table and chairs are disinfected before and after meals. Continued on LIC809C Continued from LIC809 Facility has submitted and CCL has reviewed their Covid Mitigation Plan. 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 both medication rooms and is accessible to staff who need it. Facility maintains a 30 day supply of medication. Facility continues to test staff per CCL guidance. LPA confirmed that Administrator has reviewed the most recent Provider Information Notices. Administrator and LPA discussed their Emergency Disaster Plan. No deficiencies cited during this inspection.