Facility Evaluation Report

Licensing Program Analysts (LPAs) Crystal Colvin and Venus Mixon arrived at the facility unannounced for the purpose of completing the facility's Annual Inspection. LPAs Colvin and Mixon met with Administrator Emely Rodriguez and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Below is a summary of what was observed:

Infection Control: LPA Colvin went over COVID-19 best practices for infection control and prevention with Administrator Emely Rodriguez, who LPA Colvin found to be successfully incorporating the several aspects of the facility's Mitigation Plan. LPA Colvin was unable to locate a copy of the facility's Mitigation Plan at the Riverside Community Care Licensing (CCL) office, so Administrator Rodriguez emailed LPA Colvin a copy during today's inspection. LPA Colvin inspected three resident bathrooms. In all three bathrooms, there was minimal (#1) or no (#3 & #12) hand soap, paper towels, or hand sanitizer. This included the locked storage in the bathrooms, as staff must assist residents with hand washing due to the facility being locked Memory Care. LPA Colvin will be citing a deficiency as it is a requirement for residents to have items necessary for hygiene. LPA Colvin recommended to the Administrator that a hygiene "kit" be kept in each resident room in their locked storage in the bathroom. This "kit" could consist of" soap, paper towels, and hand sanitizer, and staff can unlock it and lock it back up after assisting the resident. Deficiency cited. LPA Colvin additionally observed that the trash cans in the residents' bathrooms did not have lids. PA Colvin will be issuing a Technical Assistance (TA) Advisory Note instead of a deficiency as there is little risk of contamination.

While touring the facility, LPA Colvin observed postings throughout the facility for cough etiquette, social distancing, and infection control. LPA Colvin requested to view the facility's PPE supplies (gloves, masks, and sanitizer, and isolation gowns) which LPA Colvin observed to not be sufficient for a 30-day supply. Administrator Rodriguez opened the facility's shed for LPA Colvin and Mixon, but there were no additional N955 masks or surgical masks in the shed. LPA Colvin will be issuing a TA Advisory Note instead of a deficiency as it is recommended that the facility maintain a 30-day supply of PPE at all times.