Routine inspection·September 15, 2022

Licensing Program Analyst (LPA) Ruth Wallace arrived at the facility unannounced to conduct a Required -1 Year Inspection Visit utilizing the infection control domain. LPA met with Executive Director (ED) and explained the purpose of the visit. Prior to initiating the annual inspection visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by the receptionist. LPA and ED toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, four (4) resident bedrooms, common restrooms, resident laundry rooms, and the memory care unit. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and ED completed the infection control domain and facility was found to be in substantial compliance at this time. Kitchen area was toured. Food preparation stations, dishwashing station, and food storage units were reviewed. Food supply was reviewed for adequate 2 day perishable supply and 7 day nonperishable supplies. Medication room, located on the first floor, was toured. LPA observed the smoke/monoxide alarms to be in working order and the fire extinguishers are fully charged which expire 9/8/2023. Facility is conducting quarterly fire drills and the last one was conducted . The hot water measured 113.4*F which is within the required range of 105-120*F. LPA reviewed 5 of 36 resident records. LPA reviewed 5 staff records and all have health screen and TB results. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed current first aid certificates and staff #2 was missing current first aid certificate. One deficiency cited today according to California Code of regulations, Title 22. Exit interview conducted with ED. A copy of reports and appeal rights were given to ED.