Routine inspection·August 30, 2021

On 8/30/2021 at 1:00 PM, Licensing Program Analyst (LPA) L. Ibo conducted an infection control annual inspection and explained the purpose of the visit with S1, Administrator was called by S1 to inform the purpose of the visit, Administrator arrived approx. 1:30PM . LPA observed 4 clients during the visit. Facility has a completed mitigation plan. LPA inspected the facility inside and outside. Infection control designated leader is the Administrator. There was at least 2 days of perishable foods. Facility room temperature was maintained at 72 degrees Fahrenheit. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational. Continued on next page LIC 809-C LPA observed the following: · Facility DOES NOT document daily COVID-19 symptom checks, and any change in condition for staff and residents. (technical assistance provided) · Facility DO NOT have adequate 30-day supply of PPE (e.g., facemasks, respirators, gowns, gloves, and eye protection such as face shield or goggles). · Knives accessible to residents in care (corrected) · Poisonous cleaning products observed under kitchen sink, which was accessible to residents in care (corrected) · Licensee failed to keep one-week nonperishable food supply. · Sliding door was hard to open, LPA tried 3x and staff has to forcefully push it for it to open. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with S1. Exit interview conducted and a copy of this report provided. Appeal rights provided.