Routine inspection·February 1, 2022

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced 1 year required inspection and met with Administrator Paulin Pantig and Benjamin Pulan, Caregiver. 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 and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature of 74 F with all exits free from obstruction. Toxins are stored in locked cabinets and in the locked laundry room. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored in locked cabinets in the kitchen making them inaccessible to residents and staff that do not handle medications. 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). Administrator and all staff and 1 visitor had a mask on during the LPA's inspection. There is an approved Fire Clearance and hospice waiver for six (6) residents. Mitigation plan was approved by the Department on 04/22/21. 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 Benjamin Pulan, Caregiver.