Routine inspection·November 15, 2022

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee, Cleda Odiwe. The inspection is based on Infection Control practices of this facility. Upon arrival, LPA was screened by staff for Covid-19 which included a temperature check and signing in. LPA confirmed that facility is no longer requiring vaccination verification per recent guidance. LPA initiated a walk-through of the facility and observed the following: Facility has COVID-19 posters throughout that include hand washing signs in bathrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Staff had masks on during this visit. Commonly touched surfaces are disinfected at least once per day. Facility does not perform daily screening of staff and residents just every other day. Facility has a designated visitation area outside and is allowing for visitation in resident rooms per CCL guidance. Staff continue to receive training on infection control and donning and doffing of Personal Protective Equipment PPE but have not been N95 fit tested. LPA/Licensee discussed visitation and activities. Facility has submitted and CCL has reviewed their Covid Mitigation Plan. Facility has more than a 30 day supply of PPE including but not limited to masks, gowns, and hand sanitizer. Facility maintains a 30 day supply of medication. Fire extinguishers were last serviced October 2022. Smoke Detectors and Carbon Monoxide detector were tested and operational. At approximate 10:00am, LPA/Licensee observed staff (S1) was providing care to residents at the facility and was not associated to the facility. LPA informed Licensee that S1 is not associated to facility and should never be working and providing care to residents prior to a criminal record clearance or exemption. Civil penalties are being assessed in the amount of $100 per day for allowing a person to work, reside or volunteer in the facility without being associated. Licensee submitted updates of the following documents: LIC 308 Designated Administrator, LIC 500 Personnel Summary, LIC 610 Emergency Disaster Plan and Liability Insurance. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.