Routine inspection·February 1, 2023

On 2/1/2023 at 3:05PM, Licensing Program Analysts (LPAs) C. Fowler and P. Watson arrived unannounced to conduct an Infection Control Inspection. LPA met with Princess Nido, Caregiver and explained the purpose of the visit. Upon entry, LPAs temperatures were checked. LPAs observed screening station and COVID-19 signs posted near screening station. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and back yard. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. There is a minimum of 7-day non-perishables and 2-day perishables foods. During record review, LPA observed facility has a copy of the mitigation plan on file. LPAs observed food and paper supplies are sufficient. The following deficiencies were observed: At 3:31PM LPAs observed 6 residents with half bed rail without doctors orders. At 3:41PM LPAs observed kitchen cabinet unlocked which contains fabuloso, clorex, lysol and sharps. At 3:44PM LPAs observed 2 unlocked sheds in the backyard. At 3:45PM LPAs observed 3 gates in the backyard locked. At 3:49PM LPAs observed a ladder, bed frame located in the backyard. Continued on LIC808C. Continue from 9099 At 3:55PM LPAs observed alterations 3 rooms in the garage not on facility sketch. At 4:00PM LPAs observed that resident records for R1, R2, R3, R4, R5 and R6 are not complete. 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 The following forms are to be updated and submitted to CCLD 2/8/2023: -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610E Emergency Disaster Plan ARF LIC610D -An updated copy of Administrator certificate