Routine inspection·July 9, 2021

At 2:10 pm, Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. LPA was greeted and screened by Administrator, Nektar Chamchyan. This annual had a specific emphasis on infection control practices and procedures. At 2:20 pm, LPA 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. OUTDOOR SPACE : LPA observed the front patio, which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. KITCHEN : At 2:25 pm, LPA observed the kitchen/dining area. Knives are stored in a locked cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS : LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. RESTROOMS: Resident restroom is clean and sanitary and in operating condition with grab bars and non-skid mat. Common Areas: LPA observed common area to be relatively clean and properly furnished. At 2:35 pm, LPA observed staff cleaning resident restroom. LPA observed the fire extinguisher to be fully charged and last serviced on 09/04/2020. Medications and first aid kit were locked in a cabinet near the living area. Continued on LIC 809-C. Continued from LIC 809. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away. Records : At 2:54pm, LPA requested records for Resident 1(R1). R1 records were up to date and Administrator provided missing resident records. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and a sanitation station. LPA observed a 30-day 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 has not had a confirmed case of COVID-19 at this time; however, the facility’s policies and procedures as it pertains to infection control are adequate. The following recommendations were made: - Ensure that all resident records are up to date, including hospice care plans. Between 3:00 pm - 3:30 pm, LPA conducted Infection Control mitigation module with Administrator. At 4:05pm, exit interview conducted. Report issued and a copy of the report will be provided via email.