Routine inspection·July 26, 2022

On 07/22/2022 at 9:45pm, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility in order to conduct a required annual inspection. LPA arrived at facility, was greeted and granted entry by Stephanie Ilk and Ghergina Lupu, caregivers. Administrator Abela Albu was notified by telephone and arrived later to assist with the visit. One of the two staff present is adequately cleared and associated to the facility while the second one is cleared but is found to have been separated by mistake. LPA provides consultation and indicates that the staff member in question will need to be associated back to the facility. At approximately 10:05am, LPA accompanied by caregiver toured the physical plant of the facility. There are currently six (6) residents in care, one (1) of which is receiving hospice care. Residents are observed relaxing in their respective bedrooms and appear clean and well taken care of. The six (6) bedrooms include all necessary components. The three (3) bathrooms are equipped with grab bars and slip mats. During the visit, LPA observes cleaning supplies left accessible in one of the shared bathrooms as well as in one en-suite bathroom. Caregiving staff put cleaning supplies away during the visit. The facility is clean, sanitary and free of odors in all areas inspected. Physician orders for postural supports were found to be present for all residents with bed rails. Sharp instruments are stored in a kitchen drawer with a functional key lock. LPA observed a sufficient supply of food and water. The central storage of medication is located in a locked cabinet next to the kitchen. Cleaning supplies are secured in two cabinets located in the laundry room. A sufficient supply of linen is observed. LPA observed required department postings and COVID precaution posters on display. Facility has an adequate supply of PPE available. CONTINUED ON LIC809-C CONTINUED FROM FORM LIC809 LPA toured the outside of the facility and observed outdoor furniture in a shaded area on the patio for the enjoyment of residents and visitors. Gardening shears are observed to be left out and put away by caregiving staff during the visit. The two perimeter gates are self-latching and can easily be opened in an evacuation. There are no bodies of water on the premises. Based on the observations made during today’s visit, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with facility representative and a copy of this report along with appeal rights was provided and left at facility.