Routine inspection·October 29, 2021

On 10/29/2021 at 1:20pm, Licensing Program Analysts (LPAs) L. Francisco and G. Clark arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator, Samuel Tet and explained the purpose of the visit. During the Infection Control Inspection, LPAs toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan. The following deficiency was observed: - At approximately 1:40pm LPAs observed hydrogen peroxide in residents bedroom. - At approximately 1:42pm LPAs observed unlocked cleaning supplies in common bathroom. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in additional Civil Penalties. Administrator left for an appointment and authorized Care Staff Nadine Gabbidon to sign. Exit interview conducted with Care Staff. Appeal Rights and a copy of this report provided.