Routine inspection·April 22, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit, which has an emphasis on infection control practices and procedures. The LPA met with staff and informed them of 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 community is in compliance with Title 22 Regulations. Kitchen: The facility had a sufficient supply of two day perishable and seven day nonperishable food at the time of the visit. Food is prepared based on the resident’s diets. The menu was posted and the facility offers different options. Snacks and beverages are available for residents. Common Areas: Upon entry to the facility, there is a central entry point for symptom screening and temperature checks for residents, staff, and visitors. The LPA observed that upon entry into the facility, at least three staff were not wearing an appropriate face covering. In addition, the LPA observed hands-free hand sanitizer interspersed throughout the common grounds. However, the dispensers appeared inoperable. Staff ensured that the dispensers were operable prior to the LPA’s departure. The facility maintains a comfortable temperature at 69 degrees Fahrenheit. There are fire extinguishers throughout the facility, which were charged and last serviced 4/2021. Planned activities are offered. Activity schedule is posted throughout the facility. The LPA observed staff engaging residents in group activities. All activity rooms and common spaces appeared clean and in good repair. Common Restrooms: The LPA observed common restrooms on both floors. Whereas there was signage in the bathrooms to promote good hand hygiene, the LPA recommended that the signs be replaced due to general wear and tea. However, all restrooms were fully stocked with soap and paper towels. Outside areas: The LPA toured the outside area of the facility. The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. At 9:40 a.m., the LPA observed accessible power tools, hammers, and additional supplies in the enclosed patio area. Whereas the facility was repairing the patio, the tools were unsecured and a considerable distance from the area that staff were actively working in. Infection Control: During today’s visit, the LPA spoke with staff regarding the community's infection control practices. The LPA encouraged staff to create a centralized location with COVID-19 signage that promoted hand hygiene, physical distancing, and cough/sneeze etiquette. The community has an adequate supply of Personal Protection Equipment (PPE) and is able to obtain additional supplies. The community's cleaning protocol is sufficient. This facility has records of staff and resident vaccinations. If needed, the facility has the capacity to isolate residents if there is a confirmed case of COVID-19. Staff are up to date regarding guidelines pertaining to visitation and vaccine requirements. The community's policies and procedures pertaining to infection control were adequate. 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.