Routine inspection·August 3, 2022

Licensing Program Analyst (LPA) Elsie Campos arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with Administrator Alexsandra Vartapetova and explained 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. Kitchen drawer containing knives was unlocked with no accessible key at 10:00 a.m. Medications were observed unlocked in various kitchen drawers and cabinets at 10:03 a.m. Laundry room is located through the kitchen with access to a bathroom where cleaning supplies are kept. Laundry detergent, Clorox bleach, and cleaning supplies were observed unlocked at 10:05 a.m. All items were appropriately secured by the end of the visit. BEDROOMS: Bedrooms had appropriate furnishings, clean linens, and sufficient lighting. RESTROOMS: Resident restrooms were clean and sanitary with grab bars and non-skid surfaces. Administrator was reminded to post hand hygiene signs in all restrooms. COMMON SPACES: The facility maintained a temperature of 76 degrees. Living room and dining furniture were observed to be in good condition. Required postings were observed at the entrance. The LPA toured the outside area of the facility. The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There is a swimming pool on the premises, which the LPA observed to be unlocked at 10:28 a.m. The pool was locked upon observation. At 10:30 a.m., the LPA observed multiple screen doors in need of repairs, an obstructed outdoor walkway with an old recliner and accessible gardening shears located on the walkway wall. The recliner was appropriately removed, and the gardening shears were appropriately secured upon observation. Continued on LIC 809-C Infection Control: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. There is a centralized location with COVID-19 signs that promoted hand hygiene, physical distancing, and cough/sneeze etiquette. Staff did not conduct temperatures checks or sign in upon entry however, the Administrator was reminded that COVID-19 guidelines are still in place. Upon entry 1 staff was observed without a mask and Administrator was reminded that masking guidelines are still in place. There is sanitizer available for use throughout the facility. There is an adequate supply of Personal Protection Equipment (PPE), but the facility would like additional anti-gen tests, gloves and hand sanitizer. The facility’s cleaning protocol is sufficient. The facility can designate a single-person room to isolate persons if there is a confirmed case of COVID-19. The LPA requested to have staff updated regarding guidelines around visitation and vaccine requirements. The most recent Infection Control plan will be submitted to CCL by the due date. The Administrator continues to conduct testing, regardless of vaccination status. The licensee is reminded that any and all cases of COVID-19 are to be reported to licensing timely and to continue following COVID-19 guidelines. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): An exit interview was conducted, and Plan of Corrections were reviewed and developed with the Licensee. A copy of this report, LIC 809-D, and Appeal Rights were discussed and provided to Administrator, whose signature on this form confirm receipt of these documents.