Routine inspection·May 11, 2022

On 5/11/2022 at 3:05PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Administrator, Jean Holt. Upon entry, staff 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, garage, and outdoor areas. LPA observed only cough etiquette posted in the common area. All sinks and bathrooms were equipped with soap and paper towel. During record review, LPA observed visitors log and temperature log for residents. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, food supplies, and paper supplies are sufficient. At 3:20PM, LPA observed unlocked cleaning supply under the kitchen sink. Administrator informed LPA that the lock is broken. LPA also observed unlocked gardening tool and paint thinner in the backyard. Administrator locked up paint thinner and gardening tool during inspection. At 3:30PM, LPA observed a security lock located on the front door towards the top of the door. Administrator removed the security lock during inspection. At 3:50PM, LPA observed S1's health screen shows that TB test was positive and did not have a chest x-ray. 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.