Routine inspection·February 24, 2023

On 02/24/2023 at 9:20AM, Licensing Program Analyst (LPA) Leslie Ibo conducted an infection control annual inspection and met with S3, LPA called Administrator (S1) and licensee (S2) and explained the purpose of the visit. Administrator and licensee arrived at the facility around 10:05AM. LPA observed 5 residents during the visit. Facility has a completed mitigation plan and copy of infection control plan was received. LPA inspected the facility inside and outside. LPA observed COVID-19 signage posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Pathways were observed to be free of obstruction and fire hazards. Infection control designated leader is the Administrator. There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at 71 degrees Fahrenheit. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational. LPA observed the following: · At 10:00AM LPA observed unlocked kitchen drawer for knives and scissors. · At 10:04AM Medication cabinet was unlocked and can be accessible to residents in care. · LPA observed that hospice residents with oxygen do not have the sign “No Smoking-Oxygen in Use” – LPA provided technical violation and asked the Administrator to post the sign. · LPA provided technical violation on title 22 California code regulation 87618(b)(3)(A). Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Ronan Rances, Administrator. Exit interview conducted and appeal rights copy of this report provided.