Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo, Licensing Program Manager (LPM) Jackie Jin, and Program Clinical Consultant (PCC) Nurse Cristina Wong conducted a tele-visit via Zoom to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility and met with Administrator Jocelyn Perez.

Administrator Cristobal reports that there are currently 2 COVID-19 positive residents and 2 COVID-19 positive staff.

During today's tele-visit, PCC Nurse Cristina Wong made the following recommendations to the facility:

1. Test 2 times per week for response driven testing on 06/07, 11, 14, and 18/2022.

2. Implement a Visitor Symptom Screening log at the entrance.

3. Post PPE Donning and Doffing posters in facility for staff.

4. Dish towels and cloth towels should not be used in the kitchen. Use only paper towels.

6. Review the following PINs: 22-04-CCLD, 22-15-ASC, 22-16-ASC, 22-07-ASC, 21-10-ASC.

7. Use anti-viral cleaning products for disinfecting bathrooms.

No deficiencies were cited as per California Code of Regulations, Title 22.

This report was reviewed with with Administrators Abdullah and Fatemeh Kaykha. A copy of the report will be sent to them for it be signed and returned to CCL.