Routine inspection·January 4, 2023

Licensing Program Analysts (LPAs) Ashley Smith and Sandra Urena arrived unannounced to conduct a required annual inspection. The LPAs met with Assistant Administrator Janyce Pink and explained the reason for the visit. The LPAs toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Kitchen: LPA Smith observed the kitchen area at 10:35 a.m. The facility has a sufficient supply of non-perishable and perishable food items. Appliances appeared to be in operable condition. The menu was posted. The kitchen and dining room area was observed to be clean and in good condition. Resident Rooms: Between 10:20 a.m. – 10:40 a.m., LPA Urena observed five (5) resident rooms. Rooms appeared to be well kempt and in good condition. During the room inspection, LPA Urena tested the water temperature. Water temperature ranged between 108.8 degrees F – 122.0 degrees F. Out of the five (5) bathrooms tested, the water temperature in the restroom of Room #41 registered at 122.0 F at 10:36 a.m., and the water temperature in the restroom of Room #46 measured at 120.3 F at 10:39 a.m. Common areas: The facility is a two-story building with resident rooms on both floors. Staff were observed wearing appropriate face coverings throughout the visit. In addition, the LPAs observed hands-free hand sanitizer interspersed throughout the common grounds. There were no obstructions and/or tripping hazards throughout the facility. The facility maintains a comfortable temperature at 72 degrees. There are fire extinguishers throughout the facility, which were charged and last serviced 9/2022. The activity schedule was posted throughout the facility. The activity rooms and common spaces appeared clean and in good repair. There are laundry rooms on the first and second floor. At 10:25 a.m., LPA Smith observed that the laundry room on the second floor was unlocked. Upon entry, the flooring was observed to be unclean. In addition, there was accessible cleaning supplies in the laundry room. At 10:28 a.m., the LPA observed that the laundry room on the first f loor was unlocked. As such, there was accessible bleach and laundry detergent found in the unlocked laundry room. During today’s visit, the Administrator spoke with staff regarding this discrepancy and staff communicated their commitment to continued compliance in the future. Items were locked inaccessible during today's visit. Outside areas: There is a small courtyard with appropriate outdoor furniture for resident use, and a larger outdoor area adjacent to the kitchen, which had additional covered seating for resident use. There were no bodies of water noted. Infection Control: There was a central entry point for residents and guests to sign in and temperature checks. Staff were wearing appropriate face coverings. Infection Control signs were observed throughout the facility. Facility had a sufficient supply of Personal Protection Equipment (PPE); however additional supplies were requested. 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 continues to conduct weekly surveillance testing of staff and residents. The facility's procedures as it pertains to infection control were adequate. Other: During today's visit, the Assistant Administrator discussed the licensee's intent to install additional delayed egress doors. The LPAs encouraged them to inform CCL as to their timeline, as this will require additional documentation and inspection. The LPAs also discussed the use of wireless alarms on all exit doors, in which the Assistant Administrator noted that they would look into this further. 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.