Routine inspection·July 9, 2021

On 7/9/2021 at 12:55PM, Licensing Program Analysts (LPAs) G. Luk and C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPAs met with Licensee, Myrna Dagdag and explained the purpose of the visit. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, and outdoor areas. LPAs observed cough etiquette, sign & symptoms, and social distance posted in the common areas. Hand washing posters were posted at hand washing stations. During record review, LPAs observed visitors log. LPAs observed facility has a copy of Mitigation Plan on file. LPAs observed food and paper supplies are sufficient. The following deficiencies were observed during the visit: -At 1:10PM, LPAs observed unlocked knives, lighters, matches, and cleaning supplies. -At 1:20PM, LPAs observed facility did not document resident observation. Only 1 page of April 2021 notes were observed in the notebook. -At 1:30PM, LPAs observed administrator did not have knowledge regarding CCLD regulations/PINs. Facility have not been documenting staff/resident temperature screening and staff have not been conducting COVID-19 surveillance testing. 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 additional Civil Penalties. Exit interview conducted. A copy of this report and appeal rights provided.