Routine inspection·June 10, 2022

On 6/10/2022 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Caregiver, Remedios Manalang. LPA spoke with Administrator, Emily Garcia over the phone and was informed Administrator is unable to be at facility. Administrator authorized Caregiver, Remedios Manalang to sign CCLD report. Upon entry, caregiver did not conduct COVID-19 screening for LPA. 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. 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 9:50AM, LPA observed unlocked laundry detergents in the linen closet. Caregiver locked up laundry detergents during inspection. At 9:55AM, LPA observed sliding glass door in the living rooms is broken and unable to be opened. LPA tried to open the sliding glass door and was not able to open it. (Continue on LIC809C...) At 10:00AM, LPA was informed that staff are using R1's room as an exit to the backyard. At 10:05AM, LPA observed R2's room has a locked storage cabinet for facility's PPEs. LPA was informed that the cabinet use to be in the living room, but was moved to R2's room recently. At 10:10AM, LPA observed medication cart was unlocked and refrigerator has unlocked medications. Staff locked medication cart and put medication in a lockbox in the refrigerator during inspection. At 10:30AM, LPA observed side yard where exit gate is located has many items (wheelchairs, bed frame, suitcases, broken appliances) stored along the side yard. At 11:00AM, LPA observed S1 does not have health screening during record review. LPA contacted licensee to obtain S1's health screening, but did not receive a copy prior to completing the inspection. 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 was provided.