Routine inspection·September 7, 2022

On 9/7/2022 at 3:30PM, Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an infection control inspection. LPA met with Administrator Kathleen Taylor. Facility has census of 7. LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen and backyard. Pool was properly secured and locked. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. Medications are centrally stored in a locked area that is inaccessible to clients and refilled every at least 30 days. Facility has enough 2-day perishable food and one week non-perishable food supply. Visitors policy is posted on the front entrance. 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. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility has a mitigation plan and updated infection control plan. Facility maintains record of routine screening for residents and staff. ...continued to LIC809C... Facility received an approval for capacity increase of 7 on 4/21/2022. License is being updated on the system. LPA observed the following: · S4 started working at the facility without fingerprint clearance, based on records review fingerprint clearance indicated still “in process” . Civil penalty was assessed during today’s visit. 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. Deficiency, plan and proof of correction and civil penalty were discussed with Kathleen Taylor. Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty Assessment, LIC9098 Proof of Correction form and copy of this report provided