Routine inspection·November 8, 2021

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection at approximately 2:45 PM, and met with, Administrator, Jessica Ching. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. LPA toured facility and grounds with Administrator and observed COVID-19 precaution signs posted in common areas to promote hand washing and physical distancing. LPA was screened for COVID-19 symptoms upon entrance to this facility. Visitors are said to be screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Infection control practices are present: entry procedures, face coverings, daily monitoring and temperatures checked for residents and staff, and 30-day PPE supply. LPA consulted with facility and explained, facility needs to follow indoor visitation requirement of verifying and tracking COVID-19 vaccination or verify non-essential visitors have proof of a negative COVID-19 test within 72 hours. Facility states staff clean and disinfect the facility twice daily. Facility understands hand sanitizer should not be placed in the rooms of residents who lack hazard awareness and impulse control. Bathrooms are equipped with liquid soap and paper towels. Covid-19 Mitigation plan was submitted to the department on 7/26/2021. Caregivers have completed PPE training but have not been N-95 Fit tested. In addition, facility was found to be at a comfortable temperature with all exits free from obstruction. No accessible bodies of water or fire safety hazards observed. Fire Extinguisher was found to be charged and serviced 9/27/2021. Smoke and Carbon monoxide detectors were fully operational. There was sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations at time of inspection. LPA requested the following updated documents to be submitted to CCLD by 11/30/2021: Administrator Certificate; LIC500 Personnel Report; LIC610 Emergency Disaster Plan; LIC308 Designation of Responsibility Exit interview conducted with Administrator. No deficiencies cited during this inspection.