Routine inspection·November 21, 2022

On 11/21/22 at 8:30 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and Administrator (ADM) Hripsime "Kristina" Makaryan was notified via telephone. ADM arrived approximately 45 minutes later. Facility was toured with ADM. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bedrooms were checked. LPA checked residents' medications and observed the month's supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Residents files have updated emergency contact information. Administrator certification is valid. The following deficiencies were observed: 1. S1 was working at the reception desk which is part of the facility and is accessible to residents in care. S1 does not have criminal record clearance. ADM advises S1 has been periodically asked to work the reception desk for a duration of 2-3 months now. 2. In room 309, the right side of window sill was observed lifted from the base with nails exposed. 3. All bedroom and bathroom waste baskets, and trash cans in hallways do not have tight-fitting lids. Deficiencies are being cited based on LPA observation and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. A civil penalty is being assessed in the amount of $100 per day, for a maximum of 5 days, for a total of $500. See LIC421BG for more details. Continue on LIC809-C. Continued from LIC809. The following updated forms are to be submitted to CCL within 2 weeks: LIC610E - Due to time constraints, LPA will return for an annual continuation inspection on a later date to address additional concerns. Deficiencies may be cited during next inspection. - ADM is to submit a food service plan to update the facility's plan of operation to CCL by 12/5/22. An exit interview was conducted and Plans of Corrections were reviewed and developed with the Administrator. A copy of this report and appeal rights were given to Administrator Hripsime "Kristina" Makaryan, whose signature on this form confirms receipt of these documents.