Routine inspection·April 21, 2022

On 4/21/2022 at 8:35AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with caregiver, Mary Calica. LPA spoke with licensee, Mercedes Morales who stated she was unable to be at the facility and gave authorization to caregiver to sign the reports. Upon entry, LPA's temperature was checked and asked to fill out visitor's log. 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 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 9:00AM, LPA observed R1 and R2 had full bed rails. However, residents were not on hospice care. Staff removed full bed rails during visit. At 9:45AM, LPA observed S1 does not have health screening completed. LPA observed S1 had negative chest x-ray during record review. 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.