Routine inspection·September 26, 2022

On 9/26/22, Licensing Program Analyst (LPA) K.Kaur arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit and was allowed entry by Staff Gwen Bonner. Staff contacted Administrator who would be arriving shortly Facility staff were observed without mask. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Social distancing and cough etiquette postings observed in facility. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. 30-day PPE supplies were observed. Sharp items were locked in kitchen cabinet. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Medications observed locked in hallway closet. At 11:45 AM LPA reviewed R1’s Centrally Stored Medication list, MARS and medication and observed missing pills. Fire extinguisher service date of 1/14/2022 in dining area . LPA toured bathrooms. Hand washing signs and trash bins were observed with no lids. Securely fastened grab bars observed in bathroom. Resident rooms toured and observed to be adequately furnished and lit. The exterior tour was conducted. Staff records were reviewed for good health and infection control training. Residents’ records reviewed to have updated emergency contact. Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 10/3/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020. An exit interview was conducted with staff. Report signed on-site and printed copy provided.