Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection to focus on infection control. LPA met with designated Administrator, Alma Buclatin.

During visit, LPA toured the facility to include the dining room, living room, kitchen, resident rooms, bathrooms, and backyard. All fire exit routes are free and clear of obstruction.

The facility has a designated central entry point to include symptom screening and temperature check for all visitors. LPA advised to create a symptom screening log for all staff and residents. Visitor policy and required mask posted at the entrance. Hand sanitizer made available throughout the facility. Bathroom supplied with hygiene products, paper supplies, and hand washing sign. Facility staff clean and disinfects multiple times daily and as needed. Facility staff monitor the resident's temperature and symptoms daily. LPA observed facility's Personal Protective Equipment (PPE) supplies. LPA reviewed facility's policies and procedures to isolation, infection control training, and visitation. Staff are N95 fit tested.

The following signs observed to include symptoms of COVID, cough etiquette, droplet precaution, feeling ill, and donning and doffing PPE.

No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided.

This report was reviewed with designated Administrator, Alma Buclatin and a copy of the report was provided.