Routine inspection·May 31, 2022

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with med-tech Genesis Gonzalez and explained the purpose of the visit. Assistant Administrator Chia Demurjian arrived later. There are 41 residents ages 60 and above, of which 10 may be bedridden. The facility has a Memory Care Unit. A hospice waiver for 5 residents is in place. Facility is a 3- story building consisting of 66 resident rooms, 2 activity rooms, TV room, Namaste room, 3 dining rooms, laundry room, and 2 courtyard patio areas. Administrator certificate expires 2/14/2023. The following was inspected and observed during the inspection: COVID-19 Infection Control Practices were observed in main entrance, and common areas. COVID-19 infection control signs were observed in all common rooms and hallways promoting hand washing, cough/sneeze etiquette, and social distancing. Hand sanitizers throughout the facility were observed. Rooms 212 & 213 and Memory Care Unit rooms # 109, 110, & 111 are designated isolation rooms. Twenty (20) resident rooms were inspected; of which five (5) were missing curtains, had broken blinds, and/or had sheer curtains that do not afford privacy. Seven (7) centrally stored resident medication records were reviewed. SIx (6) out of seven (7) residents were missing 30-day supply of medications and/or physician ordered cycle medications. Resident (R1's) medications [total of 9] have not been filled since mid April 2022; which poses an immediate health and safety risk. Facility is responsible for ensuring that all residents get medication refills despite insurance coverage issues. Facility was provided a list of all medications that were missing. Staff responsible for direct care and supervision were observed wearing masks. Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed. Deficiencies were cited. See LIC809D. Exit interview was conducted with Assistant Administrator Chia Demurjian. A copy of the report and appeal rights were issued.