Routine inspection·July 29, 2022

On 7/29/2022, 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. Upon arrival at the facility, LPA Montoya called and spoke with Licensee/Administrator Lauren Spiglanin and conducted a risk assessment. Based on the assessment, the facility is clear of Covid-19 infection. LPA met with Director of Care Mary Lou Giebel and Facility Nurse Rosselyn Fagaragan and explained the purpose of today’s visit. The facility is licensed to operate for six (6) residents ages 60 and over of which one (1) may be non-ambulatory. The facility is approved for three (3) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, two (2) bathrooms, living area, dining area, kitchen, and outside covered patio area. LPA Montoya toured the inside and outside grounds of the facility with Director of Care Giebel and Facility Nurse Fagaragan. 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 108.2 degrees F. 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 (2) fire extinguishers that were charged, smoke detectors, and carbon monoxide 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. LPA observed surveillance cameras throughout the common areas of the property. Director of Care Giebel stated the facility has no intention of using the cameras. Advisory notes were issued and technical assistance was provided. Deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. A civil penalty of $500 was assessed. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted and appeal rights discussed. A copy of this report and appeal rights provided to Director of Care, Mary Lou Giebel.