Routine inspection·October 23, 2022

On 10/23/2022 at 11:45AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Caregiver Mercedes Lagan, Caregiver, and explained the purpose of the visit. Caregiver texted Administrator, Joselito Guzman, approval was given for caregiver to sign documents. Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs were posted on the front door. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, backyard, kitchen, and garage. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. Hot water temperature in the shared clients’ bathroom was measured at 98.6 degrees Fahrenheit. There is a minimum of 7-day non-perishables and 2-day perishables foods. During record review, LPA observed visitors sign-in log. LPA observed facility has a copy of the mitigation plan on file. LPA observed food and paper supplies are sufficient. Continued on LIC809C. Continued from LIC809. The following forms are to be updated and submitted to CCLD by 10/31/2022 : -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC601E Emergency Disaster Plan -Administrator certificate -Facility roster LPA observed the following deficiencies: -At 12:00PM, LPA observed faucet in master bathroom running with a slow leak. -At 12:05PM, LPA observed garage turned into 4 bedrooms and a bathroom. -At 12:15PM, LPA observed faucet in shared bathroom leaks onto counter top. And hot water temperature measured at 98.6. -At 12:35PM, LPA observed that R1 did not have a doctor's order for the hospital bed. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties. Exit interview conducted. A copy of this report and appeal rights provided.