Routine inspection·August 16, 2022

On 8/16/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA Montoya called the facility, spoke with Licensee Joseph Sol and conducted a risk assessment. Based on the assessment, the facility is clear of Covid-19 infection. LPA met with Staff Jemimah Mejia and explained the purpose of today’s visit. Licensee Joseph Sol arrived later and joined the visit. The facility is licensed to operate six (6) elderly residents ages 60 and above; approved for four (4) non-ambulatory of which two (2) may be bedridden. Bedrooms #3 and #4 are approved for bedridden. The facility is approved for four (4) hospice residents and there are two (2) hospice residents present during today's visit. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, three (3) bathrooms, living area, dining area, kitchen, and outside covered patio area. LPA Montoya toured and inside and outside grounds of the facility with Staff Jemimah Mejia and Licensee Joseph Sol. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 118.2 degree Fahrenheit. A comfortable temperature was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. The facility has one (1) fire extinguisher that was charged, smoke detectors, and carbon monoxide were operable. The facility conducted a Fire/Safety Drill on 6/15/2022. A working telephone #310-370-5939 remains available. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for residents, staff and visitors, and sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved Mitigation Plan Report on file with CCLD. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed a deficiency and issued a citation. An exit interview was conducted with Staff Jemimah Mejia, and a hard copy and appeal Rights provided.