Routine inspection (multi-day)·November 30, 2022

This is an amendment to an original Annual Report (809) dated 11/30/22. On 11/30/22 at 2:40 PM, Licensing Program Analysts (LPAs) L. Alexander and C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPAs was greeted by, Caregiver, Maria Christina Velasquez, and explained the purpose of the visit. Leah MacDonald, arrived approximately at 3:32 PM. Upon entry, LPA's temperature was not checked. LPAs observed screening station that contained hand sanitizer, masks and COVID signage. LPAs toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPAs 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, LPAs observed visitors log and temperature logs for residents or staff. LPAs observed facility has a copy of Mitigation Plan on file. The following deficiencies were observed during the visit: -At 2:42 PM, LPAs observed S2 was not associated to facility. -At 2:43 PM, LPAs observed a pair of scissors laying on kitchen counter top. -At 2:44 PM, LPAs observed keys in top kitchen cabinet that contained medication. Continue to LIC809-C -At 3:16 PM, LPAs observed a created bedroom in the garage. -At 3:20 PM, LPAs observed a created bedroom out of the dining room connected to the kitchen 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