Routine inspection·May 6, 2022

On 05/06/2022, Licensing Program Analysts (LPAs) Walton and Salazar arrived unannounced to conduct an Annual Inspection - Infection Control. LPAs introduced themselves, stated the purpose of the visit and requested to meet with the Administrator. LPAs met with Administrator, Marguerite Bruton. Facility has one central entry and exit point. Facility has implemented a sign in policy for visitors. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathroom did have a trash cans with lid. Hand washing posters were observed by the bathroom sinks. Bedrooms are single occupant. LPAs checked residents’ locked medications. Overflow medications were observed to be locked with cleaning supplies. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility does have an adequate supplies of required PPE. Staff records were reviewed, LPAs did not observe a health screen for facility staff. Per Administrator, S1 does not have a health screen. Facility staff was observed with mask on. Residents wear masks when away from the facility. Resident’s files did not have updated emergency contact information. LPAs are requesting the following documents be submitted to the Fresno CCL office by 05/20/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond, and the Mitigation Plan (LIC808) CONTINUED TO 809C Based on observation and interviews, a deficiency is being issued in accordance with the California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted and a Plan of Correction was reviewed and developed with Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Marguerite Bruton, whose signature on this form confirms receipt of these documents.