Routine inspection·May 25, 2021

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 10am. This annual had a specific emphasis on infection control practices and procedures. Administrators Lori McKay and Lito Vitug arrived at 11:10am, and the LPA explained the reason for the visit. At 10:26am, the LPA toured the physical plant ensure there were no immediate health and safety hazards. At 10:31am, the LPA observed accessible disinfectant in the hallway. At 10:32am, the LPA observed that a room was being painted, yet the painting supplies were accessible in the hallway. At 10:33am, the LPA observed a janitorial cart in the hallway with accessible cleaning supplies. At 10:34am, the LPA observed an unlocked laundry room with accessible laundry detergent and disinfectant. This door was secured upon observation. INFECTION CONTROL: The LPA spoke with the Administrator regarding the facility’s infection control practices. The facility has a central entry point for symptom screening, temperature checks, and sanitation station. Upon entry, the LPA observed that not all staff were wearing a face covering. The LPA observed an adequate supply of Personal Protection Equipment (PPE). The facility’s cleaning protocol is sufficient. If needed, the facility can designate a single isolation room if there is a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate. The following recommendations were made: - Testing Protocol, to ensure that 25% of staff are being tested weekly - Appropriate signage to remind staff and residents of cough etiquette, visitation policies, hand hygiene, etc. - Posting Provider Information Notices (PINs) and informing staff and residents of pertinent changes 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.