Routine inspection·October 10, 2022

Licensing Program Analysts (LPAs) Alicia Delmundo and Liridon Fici conducted an unannounced infection control annual inspection. LPA met with Associate Executive Director (AED) Rosana Frias, and informed the purpose of visit. Facility is a seven story building, 2nd, 3rd, 4th and 5th floors of which house assisted living residents. Facility has an LIC808 Mitigation Plan on file; however, the new Infection Control Plan and Monkeypox Infection Control Plan have not been submitted. LPA verified and AED stated the staff were fit tested for N95 respirator over a year . LPAs inspected the facility inside and out with AED. LPAs observed screening station located near the front entrance with visitor's log, hand sanitizer and digital Accushield COVID-19 screening/check-in system. Surgical masks and disposable gloves are readily available at the front desk .Residents are screened for COVID-19 symptoms and temperature checked daily. Adequate supply of centrally stored PPEs was observed. There were at least 7 days of nonperishable and 2 days of perishable food supplies. Facility maintains daily log of freezer and refrigerator temperatures. Fire extinguisher in the kitchen was observed fully charged and tag showed serviced May 4, 2022. Hot water temperature in one of the common bathrooms was tested and measured at 116.2 degrees Fahrenheit. LPAs randomly selected 4 resident rooms on the 4th and 5th floors for inspection. .....continued on LIC809C LPAs observed the following: 1. No "Wear Mask" poster on the front entrance. 2. No hand washing posters in the common bathrooms/toilets. 3. No COVID-19 physical distancing signages in common areas. 4. Construction equipments/tools and chemicals in unlocked room on the ground floor. The following updated/current documents to be submitted by October 24, 2022: 1. LIC308 Designation of Facility Responsibility 2, LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. Infection Control Plan and Monkeypox Infection Control Plan Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date may result in additional civil penalty. Deficiency and plan and proof of correction were discuss with AED. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.