Routine inspection·August 4, 2021

On 8/4/2021 at 1:45PM, Licensing Program Analysts (LPAs) G. Luk and J. Sampair arrived unannounced to conduct an Infection Control Inspection. LPAs met with staff, Noel Morales and explained the purpose of the visit. LPAs spoke with licensee, Irene Jenkins over the phone and obtain information for inspection control inspection. Licensee was unable to be at the facility. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, and outdoor areas. LPAs observed sign & symptoms, cough etiquette, and social distancing were posted in the common areas. Hand washing posters were posted at bathrooms and sinks. During record review, LPAs observed visitors log and temperature logs for both residents and staff. LPAs observed facility has a copy of Mitigation Plan on file. LPAs observed PPEs, food, and paper supplies are sufficient. The following deficiencies were observed during the visit: -At 2:00PM, LPAs observed unlocked knives, cleaning supplies, paints, and tools. Staff locked up all items during inspection. -At 2:10PM, LPAs observed unlocked medications in the kitchen. Staff locked up medication. -At 2:12PM, LPAs observed staff is preparing medications a week in advance. -At 2:15PM, LPAs observed resident had a full bed rail and not on hospice care. Staff removed full bed rail and replaced it with a half bed rail for resident. -At 2:30PM, LPAs observed side gate was in disrepair. -At 2:40PM, LPAs observed staff room was changed into 2 small staff room. -At 3:00PM, LPAs observed that staff did not document residents' changes in condition. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies may result in Civil Penalties. Exit interview conducted. A copy of this report and appeal rights provided.