There are currently (34) residents in the facility. The facility is licensed to serve (56) elderly residents of which 24 may be non-ambulatory. There is currently only one (1) non-ambulatory resident in placement.

LPA and Medication Technician Ellen Chong toured the facility's physical plant inside and outside to ensure there are no health and safety hazards. LPA toured the common areas, resident rooms which include private restrooms, kitchen, dining area, public restrooms and outside patio/ smoking area. The facility is a two story building and there are 12 resident rooms located on the first floor and 16 resident rooms located on the second floor. All common areas were properly furnished and appeared comfortable. All rooms that were inspected have private restrooms. Resident bedrooms had the required furniture for comfort and safety and had sufficient lighting. All indoor and outdoor passages were free of obstruction. All bathrooms were observed to be clean and had the required hygiene items. Bathrooms all have a supply of hand soap and paper towels. Bathrooms had grab bars for each toilet, bathtub/shower and LPA also observed non-skid mats and/ or strips in resident bathtubs/ shower. Linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to residents. The hot water temperature measured 107.2, which is within the required 105 - 120 degrees. All bathrooms were observed to be clean. There is sufficient lighting throughout the facility. There are no large bodies of water on the premises such as pools. The grounds are well groomed and there were no hazards observed. Cleaning supplies are inaccessible to clients. The front exterior of the facility is clear of debris with steps and ramp leading to the facility entrance. Trash containers have covered lids. There are no security bars nor weapons on the premises. Laundry room is located in the first floor. LPA observed the facility to be in good repair. Smoke detectors and carbon monoxide detector were in compliance and operational. Medications are properly stored, locked and inaccessible to clients.

• COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, and in all common rooms bathrooms and hallways.
• Facility is conducting COVID-19 screening for all visitors.
• Residents are able to use a designated isolation room that will be used as isolation room if a COVID-19 positive case should arise.
• 30 day supply of medication for residents
• Facility has an adequate amount of PPE and facility has enough PPE for 30 days.
• Residents were socially distanced according to local public health guidelines.
• Staff responsible for direct care and supervision were observed wearing masks.
• Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed.
• Hand Sanitizer: Available throughout the facility for client use.
• The resident's temperature is checked and logged as needed if they are exhibiting any symptoms.
• Staff temperatures are checked and logged as needed if they are exhibiting any symptoms.
• Staff and residents are tested only if exhibiting any COVID-19 symptoms.
• All residents and staff are fully vaccinated and have received both booster vaccines for COVID-19.

An exit interview conducted with Administrator Jessica Watanabe and copy of report provided.