Routine inspection·December 21, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA was greeted by two (2) staff and six (6) residents. The LPA spoke with Administrator Michelle Maurer over the phone and informed them of the reason for the visit. The LPA toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:10 a.m., the LPA observed that the cleaning supplies were accessible, as the locking mechanism for the cabinet appeared to be inoperable. Staff were unable to fix the locking mechanism upon observation. Cleaning supplies were removed from under the sink upon observation. At 11:20 a.m., medication pill boxes were accessible in an unlocked kitchen drawer. At 1 1:25 a.m., knives and sharp objects were accessible in an unlocked cabinet. At 11:50 a.m., the LPA reminded staff of the items that needed to be secured, as knives and sharps were still accessible at 11:50 a.m. Staff stated that they understood. BEDROOMS: Bedrooms were observed with appropriate furnishings, clean linens and sufficient lighting. RESTROOMS: Restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Restrooms were stocked with soap and paper towels. Hand hygiene signs were posted in restrooms. Hot water temperature measured at 109 F. COMMON SPACES: Living room and dining room furniture were observed to be in good condition. The fireplace is covered and inaccessible. All exits have functioning auditory devices. The LPA observed the required postings on the wall. The backyard has a covered area equipped with furniture for resident use. The side gate door was self-latching. No bodies of water noted. The attached garage was locked. INFECTION CONTROL : There was a central entry point for symptom screening and temperature checks. Staff were wearing appropriate face coverings. Infection Control signs were observed throughout the facility. Facility has a sufficient supply of Personal Protection Equipment (PPE). The facility’s cleaning protocol was sufficient. The facility keeps record of staff and resident vaccinations. Staff are up to date regarding visitation protocol and vaccine requirements. The facility's procedures as it pertains to infection control were adequate. 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 was conducted with Administrator Michelle Maurer over the phone, whom authorized staff to sign the report. A copy of the report, and Appeal Rights were issued.