Routine inspection·May 20, 2022

On 5/20/2022 at 2:35 PM, Licensing Program Analyst (LPAs) L. Francisco and K. Nguyeb arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator, Yanlin "Cynthia" Huang and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility with Admnistrator including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. THE FOLLOWING DEFICIENCIES WERE OBSERVED: At 2:38 PM, LPAs were not screened at the front main entrance At 2:45 PM, LPAs observed medication cabinet unlocked in the garage At 2:51 PM, LPAs observed unlocked knives inside kitchen cabinet. At 2:53 PM, LPAs observed unlocked medication inside the kitchen island drawer At approximate;y 2:55 PM, LPAs observed two visitors were not screened and temperature was not checked At 2:58 PM, LPAs observed Lysol and Fabuloso inside the centrally stored medication closet At: 3:30 PM, Personnel records are not being maintained at facility At 3:35 PM, LPAs observed a special vistor was not screened and temperature was not taken REPORT CONTINUES ON 809C Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 5/27/2022: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.