Routine inspection·September 24, 2021

Licensing Program Analyst (LPA) Spencer conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA Spencer was greeted by administrator Elna Villaflor and discussed the purpose of today's visit. This single-story home contains four (4) bedrooms, two (2) bathrooms, caregivers quarters, living room, kitchen, dining area, backyard, and attached garage. The following was observed/inspected: The facility had a universal entrance screening area including a thermometer, PPE, screening logs, and sign-in sheet. COVID-19 signage was placed in several areas of the facility. Facility maintained a 30-day supply of PPE. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. Cleaning solutions and sharps were locked and inaccessible. Water temperature was measured and were within the required 105-120 degrees F. Each room contained required furniture including bed, dresser, night stand, lamp and chair. Each bed did not contain all of the required linen including mattress cover, fitted sheet, flat sheet, blanket and comforter. Bathrooms contained hygiene supplies including liquid soap, paper towels, and toilet paper. Medications were locked, central stored, and given as prescribed. Facility maintained 30-day supply. Staff did not wear face masks consistently throughout the shift and group activities were not spaced to encourage physical distancing. Smoke detectors/carbon monoxide detectors were present and operable. A fire extinguisher was observed to be fully charged and last serviced April 2021. Client files were inspected and emergency contact information and physician's reports were up-to-date. All staff files were inspected and contained required health screenings, criminal record clearances, and training certificates. Administrator certificate expires 6/2022. The outdoor passageways were obstructed with large items needing to be discarded. Pursuant to Title 22, deficiencies were cited on attached 809D. Technical advisories issued on separate LIC9102. An exit interview was conducted and a copy of this report were provided to the administrator.