Facility Evaluation Report

Licensing Analyst Program (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection focusing on infection control. LPA met with Administrator, Mryna Brownell and lead staff, Sherwin Magallanes.

During visit, LPA toured the facility with lead staff to include living room, dining room, kitchen, bedrooms, bathrooms, and backyard. LPA did not observe staff wearing a face mask.

Facility has a designated entry point for sign-in and temperature check for all visitors. Hand sanitizer made available at entry and throughout the facility. LPA observed an outdated visitation policy from year 2020 posted at the front entrance. LPA advised to remove the sign and post updated visitation guidelines based on the recent Provider Information Notices (PINs). LPA observed facility's Personal Protective Equipment (PPE) supplies and did not observe the facility to have surgical masks and enough gloves. ADM verbally states the staff are trained on infection control, but facility did not physically have the training record or infection control plan on-site. LPA advised facility to ensure training documents and infection control plan are presentable at the facility at all times. Facility staff are not N95 fit tested. LPA verbally provided resources to complete N95 fit-testing. LPA observed posters to include but not limited to, feeling ill, symptoms of COVID-19, and keep facility clean.

LPA observed the sliding door in a resident's room was difficult to slide open and close. LPA observed a live-in staff (S1) was not associated to the facility's roster. LPA confirmed S1 is fingerprint cleared.

The following documents were requested to send to the Department by Tuesday, 02/21/23: LIC500 and LIC610D.

A deficiency were cited per California Code of Regulations, Title 22. See LIC809D and LIC421BG. Advisory notes provided. This report was reviewed with Administrator, Myrna Brownell and a copy of the report and appeal rights was provided.