Routine inspection·January 13, 2023

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual inspection. The LPA met with Jeannette Ruggiero and explained the reason for the visit. The LPA 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: The menu was posted. The facility offers a standard menu and daily specials. The kitchen and dining room area was observed to be clean and in good condition. Resident Rooms: Rooms appeared to be well kempt and in good condition. During room inspection, the hot water measured at 123.4 degrees F. Restrooms: Restrooms were fully stocked with paper towels and soap. Hand washing signs were observed. Common areas: The facility is a two-story building with resident rooms on both floors. There is a separate unit on the first floor is designated for dementia residents (The Gardens). Common areas included the dining rooms, library, activity rooms, beauty salon, and living rooms. All indoor and outdoor passages were clean and free of obstruction. Staff were observed wearing appropriate face coverings throughout the visit. In addition, the LPA observed hands-free hand sanitizer interspersed throughout the common grounds. Department required postings were found near the resident mailboxes. There were no obstructions and/or tripping hazards throughout the facility. The facility maintains a comfortable temperature at 71 degrees. There are fire extinguishers throughout the facility, which were charged and last serviced 4/2022. Smoke Detectors and Carbon Monoxide detectors were tested within the past 12 months and were operable. The activity schedule was posted throughout the facility. Activity rooms and common spaces in both the Gardens and the Assisted Living areas appeared clean and in good repair. Outside areas: There is a large outdoor patio with appropriate outdoor furniture for resident use. There was a water feature (waterfall) however, water rises at less than an inch and meets the level of the rocks. Infection Control: There was a central entry point for residents and guests to sign in. Infection Control signs were observed throughout the facility. Facility had 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, screening recommendations for visitors and vaccine requirements. The facility can designate a single-person room to isolate persons if there is a confirmed case of COVID-19. The facility recently managed COVID-19 cases and complied with all requirements set forth by the local health department and licensing. The facility's procedures as it pertains to infection control were adequate. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit Interview Conducted. Appeal Rights Discussed. A Copy of the Report Issued.