Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with, Administrator, Cecilia Ganzon. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. The facility currently has 4 residents in care. This facility is licensed for a total of 5 residents. 3 bedrooms may be used for non-ambulatory residents and bedroom #1 may only be used for ambulatory residents. This facility has a Hospice waiver approved for 2 residents and does not have approval for bedridden residents.

LPA toured facility and grounds and observed COVID-19 precaution signs posted in common areas to promote hand washing. LPA was screened for COVID-19 symptoms upon entrance to this facility. Visitors are said to be screened for COVID-19 symptoms upon arrival to the facility. Infecti on control practices that are present are: entry procedures, face coverings and 30-day PPE supply. Facility does not have proof of daily monitoring and temperatures checked for residents and staff. Facility to follow indoor visitation requirement of verifying and tracking COVID-19 vaccination or verify non-essential visitors have proof of a negative COVID-19 test. Facility states staff clean and disinfect the facility daily. Bathrooms are equip ped with liquid soap and paper towels. Covid-19 Mitigation plan was submitted to the department on 8/20/2021. Caregivers have completed PPE training but have not been N-95 Fit tested.

In addition, facility was found to be at a comfortable temperature with all exits free from obstruction. Facility has at least two days of perishable and one week of non-perishable foods and items are stored properly. Fire Extinguisher was found to be charged and serviced 11/29/2021. Facility has 2 resident room doors that are getting stuck and will need to be corrected for easy opening and closing.

Continue report see LIC809-C and LIC809-D for citations issued during todays inspection.