Routine inspection·December 22, 2022

On 12/22/2022 at 10:00AM, Licensing Program Analyst (LPA) Leslie Ibo conducted an infection control annual inspection and met with S2, LPA called Administrator (S1) and explained the purpose of the visit. Administrator is not available during the visit, S1 stated that S2 will receive copy of the report. LPA observed 5 residents during the visit and one resident was at the hospital. Facility has a completed mitigation plan. LPA inspected the facility inside and outside. LPA observed COVID-19 signage posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Infection control designated leader is the Administrator. There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at 73 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. LPA observed the following: · Unlocked disinfectants, medications and two pair of scissors accessible to residents in care · Side gate was observed to be locked ...Continue to LIC809C... Technical assistance provided to Administrator and facility staff on the following topics: · Additional covid19 posters needed at the facility’s common area · Facility needs trash bin with lid on all bathrooms · Paper towel with paper towel holder needed for all wash area · Facility needs a sign-in policy with all visitors to ensure compliance with central entry point for symptom screening and to record contact information (for reporting requirements to public health officer and contact tracing). · Facility needs to implement routine symptom screening (+/- temperature and symptom check) to be initiated at entry for all staff, residents, and visitors. · Facility needs to document daily temperature and COVID-19 symptom checks, and any change in condition for staff and residents. LPA conducted records review and only observed couple of days monitoring for residents and staff. LPA provided technical assistance and reminded staff and S1 that daily temperature and covid19 symptoms checks needs to be documented. 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 S2. Exit interview conducted and appeal rights copy of this report provided.