Routine inspection·December 29, 2022

On 12/29/2022 at 1:05PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with caregiver, Nenita Manuel. Upon entry, LPA's temperature was checked and asked to fill out visitor's log. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, and outdoor areas. LPA observed cough etiquette, signs & symptoms, and physical distancing are posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. Hot water was measured at 105 degrees F in the hallway bathroom sink. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, food supplies, and paper supplies are sufficient. At 1:20PM, LPA observed unlocked steak knives in the kitchen drawer and unlocked gardening tool in the backyard. At 1:25PM, LPA observed storage shed was used as caregivers room and current sketch revealed it was storage shed. At 1:50PM, LPA observed S1 does not have health screening completed during record review. The 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 were provided.