Routine inspection·June 29, 2021

On 6/29/2021 at 9:56AM, 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 sign & symptoms posted in the common areas. Hand washing posters were posted at hand washing stations. 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 10:00AM, LPAs measured hot water temperature at 127.6 degrees F in the kitchen sink. -At 10:05AM, LPAs observed unlocked knives and cleaning supplies. Lock was hanging on the cabinet, but unlocked. -At 10:45AM, LPAs observed administrator did not have knowledge regarding CCLD regulations/PINs. Facility have not been documenting staff/resident temperature screening, have no records of staff COVID-19 surveillance testing, some CCLD postings (cough etiquette and others) in common areas, and no gowns observed. -At 11:00AM, LPAs observed facility did not document resident observation notes since March 2021. 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.