Routine inspection·September 11, 2024

On 09/11/24 around 2:50 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual Infection Control Inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. Mariano Alatorre, Interim-Administrator (ADM) was telephoned by the staff member and arrived about 20 minutes later. Facility has a COVID-19 and Emergency Disaster Plan. LPA reviewed five (5) resident files and four (4) staff files. LPA observed a sign-in log at the entry. LPA and ADM toured the facility including, but not limited to common areas, bathroom, kitchen, front and side pathways. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap and garbage cans. ADM to add paper towels to shared bathroom. There is a surplus of PPE stored centrally located inside the facility that is accessible to all care staff. The facility's temperature was 75 degrees (F). Fire extinguisher was observed full and replaced during visit with newly tagged ones. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. The following forms are to be updated and submitted to CCLD: -LIC500 Personnel Report (Reviewed) -LIC308 Designation of Administrative Responsibility -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) (Reviewed) -Staff and Resident Roster Continued on LIC809C... continued from LIC809... -At 4:00 PM, LPA observed that all of the kitchen, bedroom and common areas do not have window screens attached. -At 3:18 PM, LPA observed R1's anti-seizure medication unlocked on the kitchen table. S1 locked the medication during the visit. Based on observation, deficiencies are cited from Title 22 California Code of Regulations and listed on LIC 9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, Appeal Rights, and a copy of this report provided to Mariano Alatorre, Interim-Administrator (ADM)