Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with, care staff Iverette "Joy" Villa, Marilou Barrola and toured the facility. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. This facility is licensed for a total of 6 non ambulatory residents, there are currently 5 residents in care, none receiving Hospice services.

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. Infection control practices present: entry procedures, daily monitoring and temperatures checked for residents and staff, and 30-day PPE supply. Facility staff were observed wearing no mask, LPA requested staff to wear mask and follow Covid procedures and Mitigation plan at all times. 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 equipped with liquid soap and paper towels. Covid-19 Mitigation plan will be reviewed. Caregivers have completed PPE training but have not been N-95 Fit tested.

In addition, facility was found to be clean 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, but last serviced 2/16/2021. During today's inspection staff S1 had the proper fingerprint clearance but was not properly associated to this facility as required