Routine inspection·May 18, 2021

Licensing Program Analysts (LPAs) Ashley Smith and Salia Walker arrived at the facility unannounced to conduct a required annual visit at 9:15am. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Emil Siapno and explained the reason for the visit. The LPAs 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: Knives are stored in a locked cabinet in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: The LPAs observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Each resident has a private room. RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. The LPAs advised the Administrators to ensure that bathrooms were stocked with paper towels and hand-washing signs. At 9:28am, the LPAs observed accessible razors in the bathroom cabinet. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPAs observed the required postings in the hallway. At 9:31am, the laundry room was unlocked, and there were accessible laundry supplies. The Administrator secured it at the time of observation. The backyard has a covered outdoor area equipped with furniture for resident use. The side gate door is self-latching. There were no bodies of water noted. The garage is where the washer and dryer are held, including additional nonperishable and perishable food items. The garage is attached to the facility; however, at 9:27am it was observed to be unlocked. At the time of observation, the cleaning supplies in the garage were accessible. The Administrator secured it at the time of observation. INFECTION CONTROL: During today’s visit, the LPAs 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 sanitation station. The LPAs 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 does not have 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: - Testing Protocol, to ensure that 25% of staff are being tested weekly - Appropriate signage to remind staff and residents of cough etiquette, visitation policies and procedures, hand hygiene, etc. - Posting Provider Information Notices (PINs) and educating staff, residents, and families on changing policies and procedures from the Department 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.