Routine inspection·September 7, 2022

On 09/07/2022 at 1:38 pm, Licensing Program Analyst (LPA) C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPA met with Caregiver, Celia Manansala and explained the purpose of the visit. Administrator arrived at approximately 1:43 pm. Upon entry, LPA temperature was not checked. LPA observed screening station that contained hand sanitizer, masks and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap, paper towel, and hand washing posters. During record review, LPA observed visitors log and temperature logs for residents or staff. LPA observed facility has a copy of Mitigation. The following deficiencies were observed during the visit: -At 1:47 pm, LPA observed sharps drawer with knives located in the kitchen lock is broken. -At 1:49 pm, LPA observed scissors located in the living room on a bookshelf. -At 1:50 pm, LPA observed the medicine cabinet had the keys hanging in the door and the door is broken. -At 1:52 pm, LPA observed 2 small bedrooms located in the garage that are not on the facility sketch. -At 1:54 pm, LPA observed chairs, lamp, rake, shovel, hoe, pick, pitch fork, lawn mower, pressure washer, mattresses, and stove top. -At 1:56 pm, LPA observed a common fence on the right side of the house leaning and held up by wood planks. Continued on LIC809C. Continued from LIC809 - 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.