Routine inspection·August 11, 2022

On 8/11/2022 at 02:50 PM Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct an infection control annual inspection. LPA met with S2, LPA called New Administrator Liezyl Ajos and informed her the purpose of the visit. Facility has census of 4. LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen and backyard. No bodies of water. Facility has enough supplies of, paper supplies and hygiene supplies. Facility has enough 2-day perishable food and one-week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE (mask). Facility has a mitigation plan. Facility maintains record of routine screening for residents and staff. …Continued to LIC809C… LPA observed the following: · LPA observed unlocked cabinet and hallway closet with poisonous cleaning products found · LPA observed unlocked kitchen drawers for the knives which was accessible to dementia residents in care · LPA observed unlocked centrally store medication drawers · LPA observed insufficient PPE supplies, facility should have at least 30 days PPE supplies available. (technical assistance) · LPA reminded licensee and Administrator to submit an infection control plan and review CCL PIN for more information. Civil penalty was assessed during today’s visit. 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 Liezyl Ajos. Exit interview conducted and appeal rights copy of this report provided.