Routine inspection·February 17, 2023

On 2/17/2023, at 2:25PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by Soledad, Bacani-Licensee and explained the purpose of todays visit. During the inspection, LPA toured facility including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. Facility has a sufficient 2-day perishable and 7-days non-perishable food supply. All toxins were locked up and inaccessible to residents in care. Common areas are disinfected frequently throughout the day. Fire extinguisher was last serviced on 11/15/2022. Facilities room temperature is maintained at 70 Degrees F. First aid kit is complete. Carbon monoxide and smoke detectors are functional. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care. During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file. Continue on Lic809-C Continued from Lic809 The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. At 2:51PM, LPA observed ants in the kitchen cabinet on a bottle of honey. At 2:53PM, LPA observed unlocked knives in kitchen draw accessible to residents. At 3:18PM, LPA observed hot water temperature in common area bathroom at 135.9 Degrees F. Exit interview conducted with Licensee, and a copy of this report provided along with appeal rights.