Routine inspection·July 1, 2021

Licensing Program Analysts (LPAs) Jennifer Jones and Jade Jordan conducted an unannounced visit to Ladera Vista. The purpose of today’s visit was to conduct the annual inspection and to observe the infection control practices. LPAs met Anna Miranda. Facility is licensed for 4 non-ambulatory residents and 2 bedridden residents. The facility also has an approved hospice waiver for 6 residents. The facility currently has 2 non-ambulatory residents and 2 bedridden. Some of the residents are diagnosed with Dementia or are receiving home health or hospice services. The facility does not handle any of the residents’ money.. LPAs and the administrator toured the physical plant, checked food service, medications, reviewed staff records and reviewed resident files for medical status and first aid kit.. The facility conducted last fire drill 05/11/2021. The home consists of 6 resident bedrooms, 3 resident bathrooms, 1 staff bathroom, living room, dining room, admin office and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid tile was in place. LPA measured water at 111 degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. All doors have auditory alarms. Kitchen was checked and observed. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. Outside grounds were toured. In ground pool observed with gate around it. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Cont-9099C During the visit, LPAs observed the facility infection control practices. Upon entry, LPAs temperature was taken, LPAs signed in and answered covid -19 questionnaire. LPAs observed a screening station with sanitizer at the facility entry and additional sanitation supplies in a closet located in room 5 (vacant room). LPAs observed a sign in sheet and temperature log for visitors. LPA observed staff wearing mask. Each client has their own individual room for isolation and required postings are throughout the facility. The administrator advised LPAs that visitors are allowed during visitor hours between 11am-8pm have the option to meet with the residents inside or outside by appointment only. Advisory Notes: The administrator will provide documentation from R1's conservator indicating that it is ok for resident to be relocated temporarily in staff room until the renovation is completed in resident's room. The administrator stated that Rm #5 will be completed in two-three weeks and will notify CCL when resident is moved. The administrator will removed PPEs in the closet located in room 5 before resident is relocated to the room. The administrator will replace missing upper cabinet door in the kitchen where dishes are stored. The following deficiencies was observed: During medication review, LPAs observed medications with out labels and a morning signature missing for today's 07/01/21 morning medication given at 9:00am. During the tour, LPAs observed half bed rails for non-ambulatory residents in rm #1 and rm #4. LPAs did not observe prescriptions from the doctor for half bed rails in resident's files. Deficiencies cited on 9099 D Exit interview conducted and a copy of the report was furnished.