Routine inspection·November 8, 2021

Licensing Program Analyst (LPA) Amy Goldenberg made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA is informed that there are no COVID positive individuals in the home. The facility has an approved mitigation plan on file with this agency. There is screening of visitors upon entry into the facility. LPA conducted a brief tour of the facility and made observations pertaining to the facility's infection control measures. The facility was equipped with sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and has a limited supply of Personal Protective Equipment (PPE). LPA discussed the availability of additional PPE supplies to the facility at the time of this visit and advised the facility representatives to contact our office in the event additional supplies are necessary. The facility continues to monitor residents regularly for any changes in condition, and notify the residents physician and emergency personnel in the event the client presents any COVID-19 symptoms. Based on observations made during today’s inspection, the facility has deficiencies in the area of care of a person with dementia. LPA observed the facility knife drawer does not have a lock and laundry soap and other chemicals were accessible through a door that did not lock. These are immediate health and safety risk to the persons in the home. LPA observed through review of records that R1 has a diagnosis of dementia and the physician's report has not been updated annually as required. Please see LIC809 D for deficiencies cited per Title 22, Division 6, of the California Code of Regulations. LPA reviewed this report with and a copy was provided to the facility representative.