Routine inspection·June 29, 2021

On 6/29/2021 at 12:50PM, Licensing Program Analysts (LPAs) G. Luk and C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPAs met with Administrator, Kevin Li and explained the purpose of the visit. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, and outdoor areas. LPAs observed signs & symptoms posted in the common areas. During record review, LPAs observed visitors log, but last visitation was documented on 5/2021. LPAs observed facility has a copy of Mitigation Plan on file. LPAs observed food and paper supplies are sufficient. The following deficiencies were observed during the visit: -At 12:58PM, LPAs observed unlocked medication in refrigerator. -At 1:00PM, LPAs observed administrator did not have knowledge regarding CCLD regulations/PINs. Facility have not been documenting staff/resident temperature screening, entrance screen has not been done for visitors, no documentation of staff COVID-19 surveillance testing, CCLD postings (cough etiquette/hand washing) in common areas, and no gowns observed. -At 1:10PM, LPAs observed facility did not document resident observation regularly. 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.