Routine inspection·July 11, 2022

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at approximately 1:45 p.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Staff Bibi Castaneda and explained the reason for the visit. The administrator was unavailable at the time of the visit and BIbi Castaneda was the designated staff to sign the report. The LPA toured the physical plant areas inside and outside with Staff Bibi Castaneda to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives are stored in a locked cabinet in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:56 p.m. the LPA observed an unlocked and accessible medication cabinet containing centrally stored medications. At 1:59 p.m. the LPA observed an unlocked and accessible cabinet under the kitchen sink containing disinfectants and cleaning supplies. BEDROOMS: The LPA observed seven resident bedrooms and one staff room. Six out of seven resident bedrooms have an exit to the exterior. All bedrooms were furnished appropriately with clean linens, furnishings, and sufficient lighting. At 2:21 p.m. the LPA observed accessible ointments in resident bedroom #4 and resident bedroom #5. RESTROOMS: Restrooms are clean, sanitary and in operating condition with grab bars and non-skid surfaces. The LPA did not observe appropriate hand-washing signs in the restrooms. Water temperature measured between 124.3 degrees Fahrenheit and 124.8 degrees Fahrenheit between 2:17 p.m. and 2:26 p.m. COMMON SPACES: Walls and flooring were checked for cleanliness and good condition. Passageways were clean and clear of obstructions. A water fountain was observed in the backyard with about two inches of sitting water. The fountain was not running at the time of the visit. Facility has a designated visitation area located outside under a covered patio area with appropriate furniture and seating for residents. The LPA observed all the required postings in the entrance hallway that promoted cough etiquette, signs and symptoms of COVID-19, and appropriate hand hygiene. Hand sanitizer was available for staff and resident use. Fire Extinguisher was last bought 8/15/2019. Staff was reminded that fire extinguishers are to be serviced or purchased on a yearly basis. GARAGE: There is an attached garage containing cleaning supplies, additional Personal Protective Equipment (PPE) and incontinence supplies. The garage was unlocked with a single latch making it accessible to residents with a single turn. The keypad was not working at the time of the visit and required repair. Staff was reminded that it must be kept locked and inaccessible to residents at all times. INFECTION CONTROL: The facility has a central entry point for symptom screening, temperature checks, and sanitation station. The LPA observed that staff are not conducting temperature checks upon entry as they do not have a working thermometer. The LPA observed an adequate supply of Personal Protection Equipment (PPE). The facility’s cleaning protocol is sufficient. The facility can designate a single isolation room if the facility has a confirmed case of COVID-19. The Administrator continues to conduct testing, regardless of vaccination status. The facility’s policies and procedures as it pertains to infection control are adequate. 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 and staff, whose signature on this form confirm receipt of these documents.