Routine inspection·August 24, 2022

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting an Annual Inspection. LPA met with Administrator (AD) Violeta Amurao and discussed the purpose of the inspection. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, garage, and kitchen and observed the following: LPA and AD observed there were 2 staff present, wearing PPE. LPA observed 4 residents were present. LPA confirmed all residents were doing well. LPA inspected common areas, resident rooms, garage, and kitchen. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. LPA observed hallways and walkways were free of obstruction. During the inspection, LPA and AD observed the following: toxins and dangerous items, including Clorox, motor oil, WD-40, and a battery-powered car starter, unsecured and accessible to residents in the backyard. During the inspection, AD properly secured these items and LPA confirmed. PLAN OF CORRECTIONS CLEARED. LPA reviewed and confirmed facility policies and practices regarding resident screening, staff screening, visitation, COVID-19 surveillance testing, COVID-19 clearance testing, quarantine, isolation, cohorting, staffing, infection control/lead/training, PPE, staffing and staffing shortages, communication and emergency plan, and dementia. LPA requested and reviewed resident roster, staff roster, resident files, staff files, emergency plan, and COVID-19 mitigation plan. LPA provided technical assistance regarding Guardian, physical plant, storage, and N95 Fit Testing. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.