Routine inspection·January 26, 2023

Licensing Program Analyst (LPA) Maldonado conducted an unannounced visit to the facility for the purpose of conducting the annual required inspection. LPA met with Assistant Administrator, Priscilla Gaytan, and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, reviewed staff files, residents' files, residents' medications, and observed food supplies. The facility is a two-story building, approved to care for 343 non-ambulatory elderly residents, ages 60 and over. The facility has a memory care unit for dementia residents and has a hospice waiver approved for (30). LPA inspected random resident bedrooms and observed them to have the required furniture, bedding, linens, sufficient lighting, closet space, and additional storage space. Each resident bedroom is equipped with a bathroom that consists of a shower, toilet, and wash basin. The showers accommodate non-ambulatory residents and have the required grab-bars and non-skid mats. The water temperature was tested and measured at between 107*F-112*F, which is in compliance. The food supplies was observed to be the required 2-day perishables and 7-day non-perishables. Several fire extinguishers were observed throughout the facility. They had current inspections and were fully charged. All sharps were observed to be locked and inaccessible in the facility commercial kitchen, inaccessible to residents in care. Other cleaning supplies were locked and inaccessible, stored in a cabinet in bathroom# 2 and underneath the kitchen sink. All equipment was operational and in good repair. Additional linens were observed in the garage and in good repair. Each bedroom is equipped with smoke/carbon monoxide detectors- operational at the time of the visit. (15) resident files were reviewed and had updated emergency contact information and health screenings. (7) staff files were reviewed and had Criminal Background Clearances, health screenings. LPA discovered that proof of required annual training and certifications for (7) staff . (15) resident medications were reviewed. They are documented properly and given as prescribed. (Report continued on LIC809-C...) LPA observed Personal Protective Equipment (PPE) supplies at the entrance of the facility- the central entry point for screening clients, staff, and visitors and in the hallway. PPE siganage was observed throughout the facility to promote hand washing, cough/sneeze etiquette, and social distancing. All hand washing stations are fully stocked with liquid soap and paper towels. Per California Code of Regulations, Title 22, and Health and Safety Codes, deficiencies were observed and will be cited during today's visit. An exit interview was conducted with Assistant Administrator Priscilla Gaytan and a copy of this report and appeal rights were provided.