Routine inspection·June 26, 2021

On 06/26/21 at 1PM, Licensing Program Analyst (LPA) conducted an infection control annual inspection and explained the purpose of the visit with S1 and S2. LPA observed Administrator was not available during visit. LPA observed one central entry point designated for universal entry screening at the main entrance. LPA observed visitors' log with a column for temperature logs for residents, staff and visitors. LPA observed thermostat at 83 degrees Fahrenheit. LPA advised staff to adjust the thermostat to 78 degrees Fahrenheit during visit. LPA observed S1 and S2 were not wearing face masks during visit. LPA advised staff to wear a face mask at all times while working at the facility. Facility has a completed mitigation plan in place dated 03/03/2021 to mitigate the spread of COVID-19. LPA discussed the completed mitigation plan (LIC 808) with staff as well as COVID-19 infection control practices. LPA inspected the facility inside and outside. LPA observed kitchen fire extinguisher fully charged and last inspected on 01/12/21. LPA observed broken dishwasher in the kitchen and sharps (knife, scissor & pizza cutter) stored in an unlocked kitchen drawer. LPA advised staff to lock the sharps underneath the kitchen sink. Per staff, the designated infection control leader is the administrator. Continued on next page, LIC 809-C All staff and residents have been fully vaccinated since February 2021.There was at least 7 days of nonperishable and 2 days of perishable foods. Emergency food supplies were observed stored in the kitchen. Smoke and Carbon monoxide detectors were operational. A written Emergency/Disaster plan dated 04/01/19 was displayed in the hallway shelf. Centrally stored medications were locked in kitchen cabinets. Toxic chemicals were locked underneath the kitchen sink. Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 07/07/21: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610E- Emergency/Disaster Plan (9 pages) · Evidence of Liability Insurance The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct these deficiencies and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal rights provided.