Routine inspection·July 7, 2022

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a 1 year required inspection and met with Administrator Emily Venegas. 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. All postings were up and visible as required. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed, as well as an ample supply of PPE and Covid-19 test kits. Medications were stored and locked in the medication room and on the medication carts making them inaccessible to residents and staff that do not handle medications. Facility is implementing a new E-MAR program, utilizing bar codes and computer input for medication administration. Administrator and all staff had a mask on during the LPA's inspection. Facility has an approved dementia plan of operation. There is an approved hospice waiver for nine (9) residents. Mitigation plan was approved by the Department on 07/02/21. Fire clearance is approved for two-hundred and ten (210) non-ambulatory. Fire drills are carried out once a month. There were one-hundred, forty-nine (149) residents in care at the facility during this inspection. No deficiencies during today's inspection. No citations issued. Exit interview conducted with the Administrator.