Routine inspection·August 23, 2021

Licensing Program Analyst (LPA) Salia Walker arrived at the facility unannounced to conduct a required Annual visit at 08:21 a.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Director Dion Gallarza at 08:34 a.m., and explained the reason for the visit. The LPA toured the physical plant areas inside and outside, with Director Dion Gallarza at 08:42 a.m., to ensure there are no health and safety hazards. Kitchen: The kitchen area appeared clean and sanitary. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Food in the refrigerator/freezer were properly labeled. All knives and cleaning supplies were observed to be properly stored and locked at time of visit. At 09:02 a.m., hot water in kitchen measured 128.7 Fahrenheit. The LPA advised Director hot water temperature is to attain a temperature of not less than 105 degrees Fahrenheit (41 degree C) and not more than 120 degrees Fahrenheit (49 degree C). Director was advised this poses an immediate health and safety risk to residents in care. Bedrooms: The LPA observed the resident bedrooms which were furnished with clean linens, appropriate furnishings, and sufficient lighting. Bathrooms: Common and private bathrooms were clean, properly supplied and had functional fixtures. Between 09:09 a.m. and 09:15 a.m., hot water temperatures measured between 128.7 degrees Fahrenheit and 130 degrees Fahrenheit private bathroom(s) for room #111 and room #127 (located on the Assisted Living section of the facility). The LPA advised Director hot water temperature is to attain a temperature of not less than 105 degrees Fahrenheit (41 degree C) and not more than 120 degrees Fahrenheit (49 degree C). Director was advised this poses an immediate health and safety risk to residents in care. Continue on LIC-809C.. Common Areas: Common areas include the dining room, activity rooms, and patios. In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. Fire extinguishers were observed throughout the facility, and were fully charged. At 08:45 a.m. the Laundry room, which contains detergent and other cleaning supplies, was observed not properly secured. This poses an immediate health and safety risk to residents in care. Surrounding Grounds: Entry/exits were free of obstruction. Medication room: First aid kit, medications, and medication records are kept in the medication room. BACKYARD: The backyards have covered outdoor areas equipped with furniture for resident use. There were no bodies of water noted. The facility is equipped with fire sprinklers. INFECTION CONTROL: During today’s visit, the LPA spoke with the Director regarding the facility’s infection control practices. Upon entry, the facility had a central entry point for symptom screening, temperature checks, and sanitation station. LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility does not have a confirmed case of COVID-19 at this time, and the LPA reviewed facility’s policies and procedures as it pertains to infection control. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided via email.