Routine inspection·August 24, 2022

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit to the facility for the purpose of conducting a Required - 1 Year Annual inspection, with an emphasis on Infection Control due to the COVID-19 pandemic. LPA Rosie Quiroz was greeted, COVID-19 screened, granted entry and met with Caregiver Alex Blancarte. LPA Quiroz called and spoke to Administrator (AD) Melinda Flores and explained the nature of the visit. AD Flores indicated she could not be present due to personal commitments and indicated Caregiver Blancarte would be available to assist LPA Quiroz with today's Annual Inspection visit. Caregiver Blancarte confirmed there are currently no cases or exposures of COVID-19 within the facility at this time. (AD) Melinda Flores has an Administrator Certificate with expiration date of 1/8/2019. LPA Quiroz inquired about Administrator certificate renewal, (AD) Melinda Flores indicated "I can't afford the extra $400 late renewal fee so haven't renewed it." LPA Quiroz provided consultation on California Code of Regulations Administrator Certification Requirements 87406. (See LIC 809-D) On or about 11:50am, LPA Quiroz along with Caregiver Blancarte conducted inspection tour of interior and exterior of the facility. Today's observations were pertaining to the facility's Infection Control measures. There is a sign-in procedure in place and hand sanitizer for use. LPA Quiroz observed that all staff were wearing face masks. The facility has an approved Mitigation Plan on file with CCLD. The facility is licensed to provide services to age range 60 and over, 27 Ambulatory residents of which 21 may be Non Ambulatory and 6 bedridden and has an approved hospice waiver for 6 residents. There are 21 residents present during this visit and 1 resident at the hospital. Five of 22 residents are receiving Hospice Services and there are currently 2 bedridden residents. LPA toured all resident rooms, all rooms were within regulations. During today's visit, Residents appeared clean and content. Resident were observed to be in activity area with staff supervision, in their bedroom and living room area. On or about 12:00pm, LPA Quiroz observed staff assisting residents to the dining area to eat lunch which consisted of: Salsbury steak, corn, mashed potatoes, peach tea and water. Caregiver Blancarte indicated "Most of the residents get full and don't eat their desert during meals so we hold it for snack time so they can enjoy it." CONTINUED ON NEXT PAGE... Restrooms observed contained soap, toilet paper and paper towels and had the proper hand washing signs posted. Facility has operating smoke and carbon monoxide detectors. Facility has Fire Extinguishers which were charged. The facility was equipped with sufficient hand hygiene supplies, cleaning and disinfecting provisions. Personal Protective Equipment (PPE) supply is available in shed stored in back parking lot area of the facility. The facility monitors the residents regularly for any COVID-19 symptoms/change of condition and documents. Facility has required Emergency Disaster Plan posted, and a secured location for resident's medication and files. Facility has 30 days supply of medications for the residents. Residents emergency contact information and Physicians reports are current. Based on observations made during today’s inspection, facility is being cited per Title 22, Division 6, of the California Code of Regulations. LPA Quiroz reviewed this report with Caregiver Alex Blancarte and Administrator Melinda Flores via telephone and a copy of today's report , LIC 811-Confidential Names and Appeal Rights were provided at exit .