Routine inspection·May 16, 2022

On 5/16/2022 at 11:20AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with house manager, Leonora Maquilan. Administrator, Marvin Tom arrived about 2 hours later. Upon entry, staff checked LPA's temperature. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, garage, and outdoor areas. LPA observed cough etiquette, social distancing, and signs & symptoms posted in the common area. All sinks and bathrooms were equipped with soap and paper towel. Hand washing signs were posted in bathrooms. During record review, LPA observed visitors log. LPA observed facility has a copy of Mitigation Plan on file. Staff was FIT tested for N95 masks and certificates were reviewed. LPA observed PPEs, food supplies, and paper supplies are sufficient. At 12:00PM, LPA observed unlocked cleaning supply under the kitchen sink. Knives drawer in the kitchen was unlocked. Unlocked gardening tools were observed. Staff locked up knives, cleaning supplies, and gardening tools during inspection. At 12:30PM, LPA observed medication room was unlocked. Staff locked up medication room during visit. At 12:45PM, LPA observed R1 has full bed rails and was not on hospice care. R2 and R3 recently graduated from hospice and still had full bed rails. (Continue on LIC809C...) At 12:50PM, LPA observed vertical blinds were in disrepair. LPA observed items such as door mirror, recycling bottles, and old furniture was located in the backyard. At 1:00PM, LPA observed side gate has an open lock on it. Administrator informed LPA that sometimes staff would lock it at night time to prevent people from coming inside. Staff removed lock during inspection. At 1:05PM, LPA observed the RV in the backyard and a night staff was sleeping inside. Administrator informed LPA that the RV have been there for a couple years. Administrator stated that the staff sometimes use the storage room to rest and a bed was observed during visit. Administrator stated that the office in the garage was build a couple years ago too with permits. LPA requested a copy of the permits. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.