Routine inspection·August 17, 2022

On 8/17/2022 at 10:30AM, Licensing Program Analyst (LPA) L. Ibo conducted an annual infection control inspection and met with S3, LPA called S1 and S2 and explained the purpose of the visit. S2 arrived at the facility after 45mins. LPA observed 5 residents during the visit. Facility has a completed mitigation plan and copy of infection control plan was requested to be submitted by 8/26/2022. 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 75 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. Continued on next page LIC 809-C LPA observed the following: · Medications supply room was accessible to residents in care. – corrected during visit · Cleaning supplies and disinfectant are accessible to residents in care - corrected during visit · Side gate was locked using pod lock- corrected during visit · Auditory signals on exit doors are turned off- corrected during visit. · Facility does not document daily temperature and COVID-19 symptom checks, and any change in condition for staff - technical assistance provided · Licensee has not provided all staff fit testing for N95 respirators – technical assistance provided · Facility do not have proof staff training on infection prevention, symptoms, transmission and PPE use by an individual trained in infection control. – type B citation. 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 Kavitha Pramood. Exit interview conducted and appeal rights copy of this report provided.