Routine inspection·February 3, 2023

On 02/03/2023, Licensing Program Analyst (LPA) Sandra Urena, arrived at the facility at 10:12 a.m., unannounced to conduct a required annual inspection. This annual inspection had a specific emphasis on infection control practices and procedures. LPA Urena met with staff , and explained the reason for the visit. Staff called administrator Emma Avetisyan on the phone, and the LPA explained the reason for the visit. Ms. Avetisyan instructed staff Emma Elazyan to give the LPA tour of the facility, and to sign the inspection report. Infection Control: Upon entry, the facility had a central entry point for symptom screening, temperature checks, and sanitation station. The LPA 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. At 10:25 a.m., LPA Urena and staff conducted a tour of the inside and outside the facility to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Common Areas: The walls and flooring were observed to be clean and in good condition. At the time of the visit, common seating area, and dining room furniture was observed to be clean and in good condition. During the tour, it was observed that the signal system for the front door was broken. a Continues on LIC809C ... Kitchen: Knives are stored in a locked cabinet drawer. Kitchen appliances were in operable condition. The facility has enough supply of perishable and non-perishable food. Freezer and refrigerator are stocked with a variety of foods. Emergency food supply is adequate for six residents and two staff. The laundry room is equipped with a functioning washer and dryer. The room was locked at the time of inspection. During of the pantry inspection, at 10:36 a.m. the LPA observed found several cans of food to have expired on 2021 and 2022. Fire extinguisher is found in the kitchen area, at 11:15 a.m. the LPA observed that the fire extinguisher had expired as 02/26/2021. Bedrooms: Bedrooms were furnished appropriately with appropriate furnishings and sufficient lighting. Linens are clean and in good condition. Extra linens are found stored in the linen closet located between bedrooms #1 and #2. Bathrooms: Restroom was clean, shower area was in clean condition with grab bars, and a non-skid mat available. Paper towels were available for drying hands. Hand washing sign was displayed, and sufficient amounts of soap and paper products in the bathroom. Outdoor Space: Backyard has a covered outdoor area equipped with outdoor furniture for residents’ use. There were no bodies of water noted. Side gate is unlocked, however at 11:47 a.m. the LPA observed that the gate had a piece of wood placed against the wood gate to prevent a resident from exiting the premises. The gate has an alarm system, however the system is broken. Toxic materials(Charcoal Fluid) was found outside on the barbecue grill( bottom part) within reach to residents. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Deficiencies were cited during this visit. Exit interview was conducted. The report was reviewed with licensee representative, signatures were obtained, and a copy of the report was provided.