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. Residents have hand sanitizer available to them, and the private bathrooms (located in each residents' room) were stocked with hand soap and paper towels. 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 informed LPA Colvin that there were additional supplies in a shed, but these were not readily available to staff in the building. LPA Colvin will be issuing a Technical Assistance (TA) Advisory Note instead of a deficiency as it is recommended that the facility maintain a 30-day supply of PPE at all times.

LPA Colvin went over the various recommended training for facility staff with Administrator Emely Rodriguez in relation to COVID-19 and confirmed that staff have been trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing PPE. LPA Colvin inquired as to if staff have been fit tested for N95 masks, and Administrator Emely Rodriguez informed LPA Colvin that at this time staff have not been fit tested, but that the Licensee was purchasing a machine to conduct fit testing for all staff of each facility. A TA Advisory Note will be cited due to CCL recommendation for all staff to be fit tested for N95 masks.