Routine inspection·November 18, 2022

On 11/18/2022 at 9:05AM, Licensing Program Analysts (LPAs) G. Luk and K. Nguyen arrived unannounced to conduct an Infection Control Inspection. LPAs met with Admission and Marketing Director, Bibi Barase. Upon entry, LPAs filled out visitor log. LPAs observed hand sanitizer at screening station. LPAs toured facility including but not limited to bedrooms, bathrooms, shower room, laundry room, kitchen, and common areas. LPAs observed cough etiquette, physical distancing, and signs & symptoms posted in the common areas. All sinks and bathrooms were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. First aid kit was complete and fire extinguisher was last serviced on 2/10/2022. During record review, LPAs observed visitors log and temperature log for both residents and staff. LPAs observed facility has a copy of Mitigation Plan on file. Staff were FIT tested and LPAs reviewed completion certificates. LPAs observed PPEs, food supplies, and paper supplies are sufficient. At 9:30AM, LPAs observed the housekeeping door and laundry room door were unlocked. The rooms had unlocked cleaning supplies and laundry detergents accessible. Staff locked up the rooms during inspection. At 9:45AM, LPAs observed facility only had one available shower room for 16 residents. The other two shower rooms were filled with storage items when staff opened the door. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.