Routine inspection·September 14, 2022

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required - 1 Year inspection at the facility today. Today's annual has a specific emphasis on infection control practices and procedures. The LPA met with Administrator Joey Alvarado at 11:32 AM and explained the reason for today's visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. At 12:49 PM the LPA and Administrator toured the secured memory care unit. There are currently 29 residents in memory care. The LPA observed three caregivers and one medication tech in the memory care. The Memory Care Coordinator and the Memory Care Health Services Director were also observed. A random selection of five resident rooms were observed. Smoke alarms and carbon monoxide detectors were tested and operational and hot water measured between 105.8 and 111.2 degrees F. During the tour at 1:02 PM, bedroom #133 was observed to be unlocked with over the counter stool softener and loose pills in a bag in their bedroom and bathroom. Record review and interviews revealed Resident #1 (R1) does not have memory impairment and is able to manage their own medications but their spouse, Resident #2 (R2) and other residents in the memory care unit, including Resident #3 (R3) have a diagnosis of dementia and cannot have access to items that could pose a danger, including medications. The items were secured during the inspection. The medication room was observed at 1:29 PM and items that could pose a danger were secured. At 1:43 PM, the assisted living medication room was observed. Items that could pose a danger were secured. A random selection of four resident rooms in assisted living were observed. Smoke alarms and carbon monoxide detectors tested were operational. The hot water temperature measured between 107.6 and 111 degrees F. The signal system was tested and operational. Fire extinguishers observed were fully charged and last serviced on 05/23/2022. At 2:03 PM the dinning room and kitchen was observed. The facility has a sufficient supply of perishable and non-perishable food, including emergency water. Report continued on LIC 809-C. Common room spaces and furniture were observed to be in good condition. The LPA observed the required postings upon entry. The patios are equipped for resident use. At 2:39 PM the LPA reviewed facility records. INFECTION CONTROL: During today’s visit, the LPA reviewed the facility’s infection control practices with the Administrator. Upon entry, the facility has a central entry point for symptom screening and sanitation station. All facility staff were observed wearing masks. The LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility has appropriate plans in place in the event of clients and/or staff are showing symptoms of COVID or testing positive for COVID. The following deficiency was cited from the CA Code of Regulations. See LIC 809-D. Exit interview and report reviewed with the Administrator. A copy of the report and appeal right were emailed.