Routine inspection·February 2, 2023

On 02/02/22, Licensing Program Analyst (LPA) 02/02/23 conducted an unannounced annual required visit with a primary focus on Infection Control. LPA met with licensee Gemma Sia Rodriquez and explained the purpose of today’s visit. The facility is licensed to operate for (2) non-ambulatory and (2) ambulatory elderly residents ages 60 and above. The facility is approved for one (1) hospice resident. The residents are Harbor Regional Center consumers. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident's rooms, two (2) common bathrooms, living area, dining area, kitchen, and outside covered patio area. LPA and licensee toured the physical plant. 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 outside of Title 22 regulations yet were clean and operational. The water temperature measured 133.8 F, Title 22 regulations. A comfortable temperature of 74.6 F 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 last charged on 04/13/22, smoke detectors, and carbon monoxide were operable. LPA reviewed centrally stored medications revealed to be accurate and maintained in order. The facility conducted a Fire/Safety Drill on 01/02/22. A working landline telephone remains available. See LIC809-C During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations (located in common areas and restrooms). LPA observed staff were wearing face coverings, an isolation room and required postings throughout the facility. LPA observed the facility does not have a 30-day supply of Personal Protective Equipment (PPE). LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PINs) for any updates relating to COVID-19 guidance. During today’s visit there was (1) deficiency observed, see LIC809-D. Exit interview held. A copy of the report, deficiency, and appeal rights were provided to Gemma Sia Rodriguez, Licensee..