Routine inspection·June 11, 2021

On 06/11/21 at 10AM, 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 COVID-19 signages in common areas. LPA observed hand sanitizer, gloves and face masks available outside the main entrance. LPA observed S2 wearing face mask and S1 not wearing face mask during visit. LPA advised S1 to wear a face mask at all times while working at the facility. Facility has a completed mitigation plan in place dated 02/01/2021 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 screening station located near the front entrance with visitor's log, hand sanitizer, gloves, face masks and no touch temperature probe. Per staff, the designated infection control leader is the administrator. LPA observed locked medication cabinets located near the kitchen area. LPA observed unlocked toxic chemical cabinet (Disinfectants, Febreze air freshener, Lysol, Windex, PRN medications, WD 40) in the main hallway. LPA advised staff to lock the toxic chemical cabinet during visit. Continued on next page LIC 809-C Infection control designated leader is the administrator. All staff and residents have been fully vaccinated since March 2021.There was at least 7 days of nonperishable and 2 days of perishable foods. Emergency food supplies were observed stored in the garage. Facility room temperature was maintained at 74 degrees Fahrenheit. Fire extinguisher was observed fully charged and last inspected on 08/27/20. Smoke and Carbon monoxide detectors were operational. A written Emergency/Disaster plan dated 03/01/2021 was posted in a common hallway leading to the kitchen. Centrally stored medications were locked in kitchen cabinets. Sharp objects were locked in the kitchen drawers. LPA also advised staff to let administrator know that their annual fee is past due and needs to be paid as soon as possible to avoid additional late fees. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610E- Emergency/Disaster Plan · 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.