Routine inspection·February 8, 2022

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection at 1:30 p.m. This annual inspection had an emphasis on infection control practices and procedures. LPA Urena met with Administrator Mariana Romano at 1:45 p.m., and explained the reason for the visit. At 2:00 p.m., the LPA and Administrator 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: Kitchen appliances were found to be in operable condition. At 2:20 p.m., during the tour of the kitchen, the LPA, and Administrator observed that the facility’s supply of perishable fresh vegetables was found to be insufficient for five residents and three staff. The supply of fresh vegetables were observed today to be two tomatoes, three heads of lettuce, seven small potatoes, approximately five small onions, a butter squash, and an eggplant. The emergency non-perishable food for six residents, and three staff was found to be insufficient, additionally, many of the can and dry foods found in the emergency pantry were found have expiration dates ranging from 2018 to 2021. The LPA observed two fire extinguishers in the kitchen area to be fully charged and operational, last check date was April of 2021. See LIC 809C... BEDROOMS: There are five (5) bedrooms currently occupied as single occupancy. Bedrooms were supplied with sufficient bedding and linens, and there were no visible hazards. BATHROOMS: There are five (5) bathrooms. Each bedroom has a bathroom. The bathrooms were found to have hand washing signs, personal grooming supplies, and paper towels. COMMON AREAS: Common areas included the Living Room and Dining Room. All common areas were appropriately furnished to accommodate a maximum capacity of six (6) residents. There were no visible hazards. SURROUNDING GROUNDS: The property is fenced. The LPA and administrator observed a large water fountain in the front courtyard area, containing standing/running water, not fenced, which poses an immediate health, safety or personal rights risk to persons in care. There is furniture appropriate for outdoor use and shade available for residents’ use. Based on observation, the licensee as LPA Urena observed an adequate supply of Personal Protection Equipment (PPE), and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited, (Please refer to LICs 809-D). Citations were issued today. Exit interview was conducted with Administrator. The report was reviewed with the Administrator, and signatures were obtained. A copy of the report and appeal rights were provided via email.