Routine inspection·September 15, 2022

On 9/15/2022 at 4:40PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Elaine Gelacio, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Marivel Calambro via telephone. Administrator gave approval for caregiver to sign documents. Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs posted near screening station. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and back yard. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. Hot water temperature in the shared clients’ bathroom was measured at 131.0 degrees Fahrenheit. Fire extinguisher last serviced on 6/6/2021. During record review, LPA observed facility has a copy of the infection control plan on file. LPA observed paper supplies are sufficient. The following deficiencies were observed: At 4:45PM, LPA observed a pair of scissors and knives in unlocked kitchen cabinet located underneath kitchen sink. Continued on LIC809C. Continued from LIC809. At 4:50PM, LPA observed both staff S1 and S2 were not associated to the facility. At 5:05PM, LPA observed R2 in hospital bed. Facility did not have any doctor's order for hospital bed. LPA request the following documents to be submitted to CCLD by 9/22/2022. LIC500 Personnel Report LIC610E Emergency Disaster Plan Administrator certificate LIC308 Designation of facility Responsibility The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties. Exit interview conducted. A copy of this report provided and appeal rights provided.