Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced TA site visit along with Pasadena Public Health Dept. Representatives, Casey Cortes (PHN) and Sandy Gesell (PHN). LPA and PPHD representatives met with Executive Director, Kay Cano and explained the purpose of today's visit. Afterward, Sanda Lee, Assisted Living Director and John Arbona, Director of Plant Operations joined and assisted with the tour of the facility. The joint visit was initiated to assist the facility in reducing their Covid-19 positive cases.

The facility is closed for new admission (12/08/2022) and are in response testing.

Testing is continued to be performed 2x/week on Tuesdays and Fridays.

Activities, communal areas (main/large dining room, theater, salon, fitness/exercise room, library) are all closed temporarily due to the outbreak.

Staff deliver food to the residents rooms in disposable containers.

There is no designated green, yellow, or red zone; Residents isolate in their own rooms.

Precaution sign/notification indicating covid positive resident isolating in the room was posted on the door.

Automatic hand sanitizer dispensers were placed at the entrances of the facility, by the elevator in the 2nd/main floor, public restrooms and entrance to memory care unit.

Pump hand sanitizers were on the PPE carts outside the rooms of covid positive residents.

Staff sanitize the common areas, door handles, elevator twice (2x) a day, morning and afternoon using one step Disinfectant Deodorizer Cleaner (DDC).

Housekeepers are on-site to clean high-touch surfaces including door handles, side rails, and elevator buttons. Staff use diluted DDC in a spray bottle and interchange it with Lysol wipes. This process is also done 2x a day.

All staff in the kitchen wore face coverings and disposable gloves. Staff have been re-trained on how to disinfect/clean their areas, food carts. PPEs like masks and disposable gloves are available throughout the kitchen.