Routine inspection·February 10, 2023

Licensing Program Analyst (LPA), Elsie Campos conducted an unannounced visit to Applegate @ Sirius to conduct a Required 1-Year Annual Inspection. This annual has a specific emphasis on infection control practices and procedures. The LPA was greeted and scanned at the door by staff, Ruby Bernardo. The Administrator, Irma Carmona arrived shortly after and was explained the reason for the visit. At 2:30 p.m., the LPA began the physical plant tour with the Administrator of the common areas, kitchen area, resident bedrooms, bathrooms, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN : Knives and chemicals are locked inaccessible. Appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS : The six single-occupancy resident rooms were furnished appropriately; beds had clean linens and rooms had sufficient lighting. All direct exits were clear and no obstructions were noted. RESTROOMS : Each resident room has an en suite restroom and there is one common restroom in the hallway. Restrooms were clean and sanitary with grab bars and non-skid surfaces. Between 2:45 p.m. and 2:50 p.m., water temperature measured between 116.2 and 128.3 F. Restrooms were fully stocked. Hand-washing signs were observed. COMMON SPACES : The LPA observed the living room area which is clean and properly furnished with seating, a table, and television for resident use. Smoke detectors and common monoxide detectors were operable at the time of the visit. Fire extinguishers were fully charged and serviced 3/16/2022. All exits have functioning auditory devices. The backyard had furniture and a covered patio set for resident use. The side gate door was self-latching. No bodies of water noted. GARAGE AND GROUNDS : The garage is locked and attached to the house. There is one (1) additional refrigerator and freezer in the garage with perishable items in good condition. Garage contains a laundry area, extra food supplies, personal protection equipment and incontinence supplies. ...Continued on LIC 809-C... INFECTION CONTROL : There was a central entry point for screening and temperature checks. The LPA was appropriately screened upon entry into the facility. Staff were wearing appropriate face coverings. Infection Control signs were observed on the front door and throughout the facility. Facility has a sufficient supply of PPE. The facility’s cleaning protocol is sufficient. Staff continue to document temperatures of staff and residents on a daily basis. There was record of staff and resident vaccinations. All staff are fully vaccinated. No identified staffing concerns. The facility is in compliance regarding the requirements for indoor and outdoor visitation. 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.