Routine inspection·December 6, 2022

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced site visit for the Required - 1 Year inspection focusing on infection control. Upon arriving at the facility, LPA met with Administrator Lisa Pham and assistant administrator Elizabeth Martinez and stated the purpose of the visit.. LPA conducted inspection using Infection Control Domain Tool. Last fire drill was September 16, 2022. Administrator certificate expires 03/01/24 Structure: The facility property is a two story commercial building, licensed to serve 80 non-ambulatory residents ages 60 and above, of which 10 can be bedridden. The designated rooms for bedridden residents are rooms 1, 3, 5, 7, and 9, The facility has an approved hospice waiver for 30 residents. There are a total of 40 resident rooms. The following were observed/inspected: · COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept. · LPAs was screened for this visit. · Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote handwashing, cough/sneeze etiquette, and physical distancing. · Facility has two designated isolation room. · 7 client rooms, common areas, bathrooms, and outdoor physical plant was inspected. · C lient rooms were equipped with alcohol-based hand sanitizer. · Four (4) centrally stored client medication records were reviewed. · Staff responsible for direct care and supervision were observed wearing masks. · Clients were not observed wearing masks but adhering to public health social distance guidelines. · Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed. · A posted Emergency Disaster Plan was posted but was at facility. · PPEs were observed. · Staff and resident files were not reviewed during today's visit. · Deficiencies cited per Title 22 Health and safety code, See 809D for details. · Exit interview was conducted with Assistant Administrator Lisa Pham. A copy of the report and appeal rights was provided .