Routine inspection·January 20, 2023

On 1/20/2023 at 1:00 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by, DUMITELA DIMAPILIS Administrator (ADM) and explained the purpose of todays visit. During the inspection, LPA toured facility including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. Facility has a sufficient 2-day perishable and 7-days non-perishable food supply. All sharps and toxins were locked up and inaccessible to residents in care. Common areas are disinfected frequently throughout the day. Water temperature is measured at 112.5 Degrees F in common area bathroom. Fire extinguisher was last serviced on 11/28/2022. Facilities room temperature is maintained at 68 Degrees F. First aid kit is complete. Carbon monoxide and smoke detectors are functional. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care. During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file. Continue on Lic809. Continued from Lic809-C The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. 1. At 1:15PM, LPA observed S1 is not associated to the facility and needs a transfer request in order to work on the premises. S1 was asked to leave the facility by ADM until further notice. A $500.00 civil penalty is being assessed for todays visit. Exit interview conducted with ADM, appeal rights given along with a copy of this report.